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UARSC FORMS

  Benefits Information & Forms
  Center for Children & Families
  Human Resources Forms
  Financial & Accounting Forms
  Payroll Forms
  Risk Management Forms
  Sponsored Projects Forms

Benefits Information and Forms 
 Benefits Summary
 Benefits for Cash Plan
 Cafeteria Plan Benefit - Flexible Spending Accounts
 Cafeteria Plan - Claim Form (Dep. Care & Healthcare Expenses)
 Cafeteria Plan - Direct Deposit Authorization Form
 Cafeteria Plan - Enrollment Form
 Cafeteria Plan - Flexible Spending Account Instructions
 Cafeteria Plan - IRS Revenue Ruling 03-102
 Cafeteria Plan - IRS Publication 502 - allowable expenses
 Cafeteria Plan - Presentation
 Cafeteria Plan - Summary of Material Modications
 Career Development Educational Reimbursement Program
 COBRA Notice
 Dental Benefit Summary (Delta Dental) 
 Employer-Paid Payroll Taxes and Benefits 
 Long-term Care 
 Retirement Plan - Summary Plan Description 
 Vision Insurance - Summary Plan Description 


Center for Children & Families Forms
 Classroom Request Form
 Levels and Requirements of Involvement
 Observation and Participation and Internship Request Form
 Observation Request Form
 Parent Letter
 Request for Live Scan Service
 Research Request Form
 Statement on Dispositions


Financial & Accounting Forms 
 Account List                                    
 Automobile Insurance Certification
 Check Request 
 Computer Service Agreement (UARSC) 
 Deposit/Transmittal (Checks and Cash)
 Deposit Transmittal (Credit Card Vouchers) 
 Inventory Tag & Status Form 
 Petty Cash Request 
 Project Agreement - Campus Activities 
 Project Agreement - GPSM 
 Purchase Order - Regular
 Purchase Order - Office Depot 
 Purchase Order Amendment 
 Transfer Request 
 Travel Expense Claim 
 Travel Request Form and Travel Allowance Guidelines 
 Travel Request and Claim Tips


Human Resources Forms 
 Application for Employment (Non-Student) 
 Application for Employment (Student) 
 Application for Educational Reimbursement 
 Application Rating Form 
 Change of Address/Name 
 Employment Authorization Form - Standard 
(for most employees)  
 Employment Authorization Form - Faculty/Exempt Level CSU
Staff (use for CSUSM employees ONLY) 
 Employment Requisition (pre-approval form when
wanting to hire regular, benefited Foundation employees) 
 Guest Lecturer Form 
 I-9 Form (Employment Eligibility) 
 I-9 Guidelines (Documents Required at New Employee Orientation)
 Independent Contractor Packet 
 Interview Rating Form 
 Job Description (Non-Student Assistant) 
 Job Description (Student Assistant) 
 Performance: Employee Self Evaluation 
 Performance: Performance Appraisal 
(for more information, refer to Performance Appraisal Policy) 
 Performance: 90-Day Form #1 (Optional) 
 Performance: 90-Day Form #2 (Optional) 
 Reference Check (Non-Exempt) 
 Reference Check (Exempt Positions) 
 Reimbursed Time Form 
 Release of Liability Agreement 
 Report of Injury or Illness 
 Salary Reduction Agreement (Retirement Plan) 
 Self Evaluation Form 
 Separation Notice 
 Volunteer Application 
 W-9 Form 


Payroll Forms 
 DE 4 California Withholding Allowance Certificate
 Direct Deposit - Payroll Distribution Form 
 Holiday Schedule 2009 
 Payroll Schedule 2009 
 Time Sheet (Non-Student Assistants) 
 Time Sheet (Student Assistants) 
 W-4 Form 2009
 W-5 Form 2009


Risk Management Forms 
 Approved Caterers Insurance Requirements 
 Approved Catering and Transportation Providers 
 Contractor Insurance Requirements
 Food Safety Checklist 
 Indemnification and Hold Harmless 
 Transportation Providers Insurance Requirements 
 Release of Liability 


Sponsored Projects Forms  
 Sponsored Projects Approval Form (SPAF) 
 Conflict of Interest Disclosure Form
(Governmental Funding Source) 
 Conflict of Interest Disclosure Form
Non-Governmental Funding Source) 
 Cost Sharing Approval/Verification Form 
 Post-Award Assignment of Cost Sharing Committment 
 Project Agreement - Grants & Contracts