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:
http://financial.ucsc.edu/Pages/Forms.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:
http://financial.ucsc.edu/Pages/Forms.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)

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