Absence Report

Used internally by campus departments to report leave usage; modified to include furlough reporting.

PA-634F (8/2009)

Confidentiality Agreement -Faculty/Staff

Use this form for access to University data systems containing personal, academic, or financial information about students, faculty, staff, or alumni.

OHRS 50-15
(7/2004)

Direct Deposit Enrollment Authorization
DIRECT DEPOSIT CONTRACT

DIRECT DEPOSIT INSTRUCTIONS & INFORMATION

Used to enroll in or change direct deposit of pay warrants (return with signature to Payroll Administration, University Hall Room 185; questions, call x2314). Link to form takes you to State of California forms website.

STD 699
(7/2000)

Employee Action Request/Change Form
(Faculty/Staff/Management/Employee Only)

Employee Action Request Form is used to make changes to Federal and State Withholding and/or address changes. Remit completed form to HRIS/Payroll Administration, UN-185 with original signature and date. No photocopies accepted. Link to form takes you to State of California forms website.

STD 686
(12/2004)

Employee Information Change Form - State

Use for employee information changes such as address, telephone number, etc. Instructions are included with this form

OHRS 30-72
(8/1999)

Extra Hours Worked Authorization

Used by campus employees to document their overtime, CTO, or straight time worked in excess of their regular schedule.

PA 125
(4/2004)

NEW! Extra Hours Worked Authorization During Furlough Weeks

PA 125F
(9/2009)

Extra Hours Worked, Control Log CTO
INSTRUCTIONS FOR THIS FORM

Monthly control log used to summarize all of the CTO (Compensatory Time Off) credits earned by employees. Must be submitted with "Authorization for Extra Hours Worked" sheet(s).

OHRS PSC 60-66
(8/2005)

Extra Hours Worked, Control Log Straight Time
INSTRUCTIONS FOR THIS FORM

Monthly control log used to summarize all of the overtime/straight time cash payments due to employees. Must be submitted with "Authorization for Extra Hours Worked" sheet(s).

OHRS PSC 60-5
(8/2005)

New! Flexible Furlough Day Request Form (Staff and MPPs)

Provided as an optional tool for departmental managers, it may be used internally to record flexible furlough day requests.

(08/2009)

Leave of Absence Request Form

This form is used to request a Leave of Absence or request to return to work from a leave.

(07/2007)

Master Payroll Certification (MPC) Exception Form

Use this form to report monthly master payroll transactions missed during the regular MPC cycle.

MPC Form
(1/2006)

Pay Warrant Replacement - Lost/Stolen

Used by employees to request a duplicate pay warrant / stop payment (return with Signature to Payroll Administration, University Hall Room 185, questions, call x2314). Link to form takes you to State of California forms website.

STD 435
(9/2000)

Personnel Action Request Form - General

Used for general personnel action request.

n/a

Personnel Action Request Form - Faculty Full-Time

Used for full-time faculty personnel action request.

n/a

Personnel Action Request Form - Faculty Part-Time

Used for part-time faculty action request.

n/a

Prior Pay Period Adjustment Form

Used by campus departments to request adjustments to an employee's pay and/or leave balance, including sick leave, CTO, and vacation usage from a prior pay period. DO NOT USE THIS FORM FOR WORK-STUDY PRIOR PAY PERIOD ADJUSTMENTS.

PA 115
(8/2005)

Prior Pay Period Adjustment Form - Work-Study

Summary to report miscellaneous adjustments to Work-Study Payroll, including hours from a prior pay period. Use for on and off campus Work-Study. (Instructions included with form)

OHRS-PSC-60-10
(11/2003)

Separation/Clearance Designee Election Form

Used to designate an employee responsible for completing all department separation/clearance processes.

OHRS 30-73
(3/1999)

Separation/Clearance Form

For all faculty and staff who are separating employment from CSUN. Full and part-time faculty members who are expected to return during the following semester may be exempt from this process, at the discretion of the Dean of the College.

OHRS 30-23
(7/2007)

Signature Authorization, Payroll Documents

Used by campus departments to notify HRIS/Payroll Administration of persons authorized to sign payroll documents.

OHRS PSC 60-16
(2/2004)

SOLAR HRMS Access Request Form

Use this form to request access to the HR system for an individual employee.

(6/2008)

Special Pay Authorization
INSTRUCTIONS FOR THIS FORM

Used by campus departments to request payments for hours, units, or days worked on projects falling under the "Special Pay" classifications.

PA 120
(3/2005)

Student Action Request/Change Form

CSU Student Payroll Action Request Form is used to make changes to Federal and State Withholding and/or address changes. Remit completed form to HRIS/Payroll Administration, UN-185 with original signature and date. No photocopies accepted. Link to form takes you to State of California forms website.

STD 457
(9/2004)

Student Assistant Payroll Summary
INSTRUCTIONS FOR THIS FORM

Monthly payroll summary for Student Assistant workers in campus departments. Will accommodate up to 25 students.

OHRS PSC 60-1
(8/2005)

Student Assistant Hire Form

Use this form to document the hire of a new Student Assistant.

OHRS 20-60
(10/2001)

Student Employee Job Data Change Form

This form is used to document and authorize requests for additional appointment or change to the current employment status of a student assistant or work-study student.

OHRS 20-57
(10/2001)

Summer Session YRO Pay, Authorization

Used by campus departments to request payments for faculty involved in the year-round operations.

PA 110
(8/2005)

Summer Session, 1/30th Pay Rate

Used by campus departments to report summer session pay for faculty that worked the previous fall or spring.

PA 130
(6/2005)

Summer Session, 2357 Salary Schedule

Used by campus departments to report faculty teaching summer only.

PA 135
(6/2005)

Timesheet

Used by Student Assistant, Work-Study, and Hourly employees to track their hours worked.

PA 100
(1/2002)

Vehicle Monthly Usage Report

Used by employees to report mileage on their state or third-party vehicles.

OHRS-PSC-60-7
(10/2004)

W-2 Duplicate Request

Used to request a duplicate copy of a W-2 for up to 4 prior tax years.

STD 436
(9/1997)

Recommended to submit schedule changes due to furloughs. Department Coordinators/Timekeepers (those who manage schedules) may complete this form for employees on alternate or compressed work schedules as an alternative to the Action Request Form.