| Form Name | Form Number | Office of Record |
| Job Description (for non-academic) career appointments | HR-Compensation | |
| Staff Employee Requisition UCLA Staff Employment Offer Verification Notice Employee's Resume, Employment Application or Staff Transfer Application |
HR-Employment | |
| UCLA Interview and Hire Record - Career Staff Employees (for career appointments only) | Form A | Staff Affirmative Action Office |
| State Oath of Allegiance and Patent Agreement | UPAY 585 | Campus Payroll |
| Employment Eligibility Verification | I-9 | Campus Payroll |
| Withholding Allowance Certificate | W-4 | Campus Payroll |
| Statement of Citizenship | PAY 2 | Campus Payroll |
| Exemption from withholding on Compensation | 8233 | Campus Payroll |
| Tax Treaty Statement | Campus Payroll | |
| Out of State Withholding Form | UPAY 830 | Campus Payroll |
| Work-Study Referral Form (for Work-Study new hires) | UPAY 759-4 | Department |
| Personal Identification Authorization (PIN) | UPAY 874 | HR-Benefits |
| Benefits Enrollment/Opt Out Form | UPAY 850 | HR-Benefits |
| Life and AD&D-Designation of Beneficiary | UPAY 718 | HR-Benefits |
| UCRP-Designation of Beneficiary | UBEN 114 | UCOP |
| Parking Services Payroll Deductions
Authorization Parking Services Payroll Deductions Cancellation |
1615LA 1615CLA |
Campus Parking Services |
| Unemployment Insurance Termination Report | U5602 | HR-Unemployment Coordinator |
Many of these required forms are available (or can be ordered) on the web from one of
the following sources:
|
|
|
Next![]() |