Instructions:
Complete all forms as noted in the checklist below. Include Employee ID on all forms. Follow the instructions on where to send each form as stated below. You can print this checklist (PDF) if you prefer.
Form |
Distribution |
Link |
Hire |
Rehire |
---|---|---|---|---|
State Oath of Allegiance |
Keep in Department |
UPAY 585 (PDF) |
Required US Citizens only |
Conditional US Citizens only |
Patent Policy Acknowledgement |
Keep in Department |
Required – All Employees |
||
Employment Eligibility Verification Form I-9 |
For departments that have transferred to CSS, I-9s should remain at CSS location on 4th Street. All others send to: |
Form I-9 (PDF download) |
Required | Conditional |
Demographic Data Transmittal |
Destroy after data entry into HCM |
U5605 (PDF) |
Required | Conditional |
UC Federal/State Withholding Allowance Certificate |
Option 1: Employees log in and complete online Option 2: complete form, fax to: |
UC W-4DE 4 (PDF) |
Required |
Conditional |
UC Federal-State Non |
Complete form, fax to: |
UC W-4NR/DE (PDF) |
Required |
Conditional |
Payroll Earnings Distribution Authorization (Direct Deposit) |
Self Service |
BLU Self Service |
Required |
Conditional |
Benefits Eligibility Level Indicator (BELI) and Status Qualifier Code (SQC) |
Keep in Department |
UPAY 726 (PDF) |
Required |
|
Health and Welfare Plans |
Employees log in and enroll in health and welfare plans online. If unable to enroll online, use form. |
UPAY 850 (PDF) |
Conditional |
|
Flexible Spending Account |
Employees log in and enroll online. If unable to enroll online, use form. |
UPAY 850 (PDF) |
||
GLACIER Departments with admin rights initiate process through: Departments without admin rights initiate process though: |
Employee completes online information, prints & mails required documents from Glacier tax summary report to: |
Required |
Conditional |
|
Statement Employment not Covered by Social Security |
UC HR/Benefits |
UCRS 419 (PDF) |
Conditional |
|
Send to: Natasha Williams |
Conditional Designated Positions (PDF) |
|||
UC Policy on Substance Abuse to comply with Federal Drug Free Workplace Act. |
Required |
|||
Workers’ Compensation Pamphlet: Time of Hire Print the following documents and follow the instructions:
|
Keep in Department |
Instructions & Acknowledgement Form (PDF) |
Required |