Division of Administrative Services

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Forms & Publications

Type Payroll Forms
MS Excel Logo Miscellaneous Pay:
Completed by department to report overtime, shift differential, docks, and other special pay for salaried employees. Requires approval from department head and vice president (or designee).

Miscellaneous Pay form - Instructions
MS Excel Logo Miscellaneous Pay - Electronic Communication Devices Services Stipend:
Completed by department to report stipend pay for electronic communication devices services. Requires signature of employee and department head and in specific cases the division vice president. Complete all the shaded boxes in this form including signatures. Following is a link to Policy on Use of Communication Devices, C-20.

Electronic Communication Devices Stipend form
Adobe PDF Logo Notification of Separation and Request for Final Pay:
Completed by departments to notify Payroll of employee's intent to separate and how the employee's final pay will be treated.

Notification of Separation and Request for Final Pay form
Adobe PDF Logo Payroll Document Authorization: 
Completed by department to authorize employee to certify reported attendance of faculty and staff.

Payroll Document Authorization form - Instructions
Adobe PDF Logo Payroll Pick-Up Authorization:
Completed by department to authorize employee to pick up payroll warrants and advices.

Payroll Pick-Up Authorization form - Instructions 
Adobe PDF Logo Form I-9:
Employment Eligibility Verification (Rev. 02/02/09)

I-9 form
Type Temporary Help Forms
MS Excel Logo Temporary Help Voucher:
Completed by employee to report hours worked to supervisors, or to track hours worked.

Temporary Help Voucher Jan to June 2009
Temporary Help Voucher July to Dec 2009
Type Student Assistant Forms
  Student New Hire Forms:
Completed by newly hired student assistants. Go to Payroll Services, Joyal 249, to finish hire process.

I-9
Employee Action Request
Oath of Allegiance for Persons Employed by State of Cal
Designation of Person Authorized to Receive Warrants
Direct Deposit Enrollment Authorization
Drug Free Workplace
CSU Form SSA-1945
Request for Nondisclosure of Employee Address
Student Payroll Action Request
Employee Statistical Data Sheet

 

  Student Assistant Voucher:
Completed by employee to report hours worked to supervisors, or to track hours worked.

Student Assistant Voucher - Instructions 
Adobe PDF Logo Work Study Student Assistant Voucher:
Completed by Work Study employee to report hours worked to supervisors, or to track hours worked.

Work Study Student Assistant Voucher - Instructions on form
Type Absence Management Forms
  Absence Management 634 Form:
The Monthly Attendance Summary (Form 634) has been revised to meet the current needs of the campus since implementing Absence Management. The form should now be used when submitting corrections that cannot be input into Absence Management or to submit a scheduled change.

Absence Management 634 form
MS Excel Logo Report of Overtime or Holiday to be Credited as Future Leave Form:
This form is used to report overtime or holiday to be credited as future leave.

Report of Overtime or Holiday to be Credited as Future Leave form
MS Excel Logo Report of Employee Schedule Changes
This form is used to report overtime or holiday to be credited as future leave.

Report of Employee Schedule Changes form
Type Self-Service Forms
Adobe PDF Logo Deferral of Separation Pay: 
Completed by employee who have either a tax shelter account or a Deferred Compensation account to transfer pay from one calendar year to the next for year-end tax reporting.

Deferral of Separation Pay form - Instructions Link 
Adobe PDF Logo Direct Deposit Enrollment: 
Completed by employee to authorize the State Controller’s Office to enroll, change, or cancel direct deposit of employee’s pay.

Direct Deposit Enrollment form - Instructions
Adobe PDF Logo Duplicate Wage and Tax Statement Request:
Completed by employee to request a duplicate Wage & Tax Statement from the State Controller's Office.  Cost is $8.50.

Form STD. 436 Duplicate W-2 Link
Adobe PDF Logo Employee Action Request: 
Completed by employee to change: withholding allowances, address (home and/or mailing), name, and to correct birthdates. For withholding allowances, refer to Paycheck Calculator. MS Excel Logo

Employee Action Request form - Instructions 
Link Employee Separation:
A must for all employees separating from university ... All employees must return all State property checked out while employed. Clearances must be completed by the last day on campus in order for Payroll Services to complete the transaction necessary to issue final pay.

Employee Separation - Go to Human Resources
Adobe PDF Logo PST Retirement Refund Request: 
This is for employees covered by PST Retirement. Completed by employee for refund of PST retirement funds.  Must be signed by an authorized HRS employee before mailing to Sacramento. 

PST Form - Instructions on form
Adobe PDF Logo UC Defined Contribution Plan
Form UBEN 143 (includes refund):

This was the former retirement plan prior to campus conversion PST. Completed by employee if they have left CSU employment and want to take a distribution from their Defined Contribution Plan.

Form UBEN 143 - Instructions on form
Adobe PDF Logo Request for Nondisclosure of Employee Address:
This form is used to request nondisclosure of home address except to specified individuals or organizations under Government Code Sections 6254.3. or to cancel previous nondisclosure request.

Request for Nondisclosure of Employee Address

Adobe Acrobat Logo Work Number for Everyone Brochure
Explains the automated verification service available to employees of Fresno State. This service is used for mortgage applications, reference checks, loan applications and apartment leases -- anything you need that requires proof of employment.

Work Number for Everyone Brochure
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