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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