Employment Forms

Required Forms

Form:

( Direct Link to PDF )

Source:

Affordable Care Act (ACA) Exchange Notice
*See Guidelines below in Optional Information/Resources for additional information.
UC Office of the President:
http://ucnet.universityofcalifornia.edu/_files/pdf/aca_notice.pdf
Data Collection Document for Academic Initial Hire/Rehire APO
Federal/State Tax Withholding Allowance for U.S. Citizen and Permanent Resident Employees
Employee completes online; otherwise, withholding sets to default (Single, 0).
or
see GLACIER Guide for Foreign National Tax Compliance System for Non-resident Alien Employees
UC Office of the President:
http://ucnet.universityofcalifornia.edu/

Financial Affairs:
https://financial.ucsc.edu/pages/payments_ForeignNationals.aspx#benefits
UPAY 585 State Oath of Allegiance, Patent Policy, and Patent Acknowledgment
Note: Oath is not required for non-residents
UC Office of the President:
http://ucnet.universityofcalifornia.edu/forms/
Form I-9 Employment Eligibility Verification U.S.Citizenship and Immigration Services:
http://www.uscis.gov/i-9
UPAY 726 Benefits Eligibility Level Indicator (BELI)

UC Office of the President:
http://ucnet.universityofcalifornia.edu/tools-and-services/administrators/employment.html

Voluntary Self-Identification of Race, Ethnicity and Veteran Status form (U5605-10.14)

UC Office of the President:
http://ucnet.universityofcalifornia.edu/forms/

Voluntary Self-Identification of Disability form (CC 305)

U.S. Department of Labor
https://www.dol.gov/ofccp/regs/compliance/sec503/Self_ID_Forms/SelfIDForms.htm
Incoming Interlocation Memo
This form must be completed for employees transferring from another UC campus without a break in service.
UCSC Financial Affairs Office:
https://financial.ucsc.edu/Pages/Forms_Directory.aspx
UCRS 419 Statement Concerning Your Employment in a University Position Not Covered by Social Security
This form must be completed by employees hired into positions which are not covered by Social Security
UC Office of the President:
http://ucnet.universityofcalifornia.edu/forms/
Foreign National Hiring Memo
This form must be completed for all non-resident new hires or rehires
UCSC Financial Affairs Office:
https://financial.ucsc.edu/Pages/Forms_Directory.aspx
J-1 On-Campus Employment Authorization Form
This form must be completed by J-1 students seeking authorization for ON-Campus employment.
UCSC Office of International Education:
http://oie.ucsc.edu/is3/students/forms.html

Nondiscrimination and Affirmative Action Policy Statement Regarding Employment Practices (instructions only)

Nondiscrimination and Affirmative Action Policy Statement Regarding Employment Practices (instructions and form- english- Feb 2019)

Nondiscrimination and Affirmative Action Policy Statement Regarding Employment Practices (instructions and form- spanish- Feb 2019)

UCSC Office for Diversity, Equity, and Inclusion:
https://diversity.ucsc.edu/

Optional Information/Resources

Form:

( Direct Link to PDF )

Source:

At Your Service Login Information
Guide for first-time user of At Your Service Online (AYSO). Employee can use AYSO to change tax withholding, benefits, etc.
Financial Affairs Office
https://financial.ucsc.edu/Pages/Payroll_Main.aspx
Employee Guide to Getting Paid
Employee can select direct deposit or a paper paycheck.
Financial Affairs Office
https://financial.ucsc.edu/Pages/Payroll_Main.aspx
Onboarding Foreign Nationals

Prepared by Anne Callahan and Humanities Staff

Returning to UC Employment After Retirement Factsheet UCOP
http://ucnet.universityofcalifornia.edu/forms/
Guidelines for ACA Required "Exchange Notice" for all new UC hires

UCSC Benefits Office 459-3993