Main Content Region

Forms

Forms for Employees

Forms for Employees
FormDescription
Understanding Your PaycheckForm to explain each section of the pay warrant and direct deposit advice
Direct DepositDirect deposit authorization form to request payments to be automatically deposited into a designated bank account. Please use only the last 4 digits of SSN on form when submitting electronically.
Procedure to Request a Duplicate W-2 Wage & Tax Statement FormLink to the State Controller's Office Fill and Print Duplicate W-2 Wage & Tax Statement Form PDF and Duplicate W-2 information.
How To Use The Work NumberThe Work Number user instructions for the online and phone employment and wage verification service.
The Work Number WorksheetThe Work Number worksheet should be completed by the employee and given to the verifier.
Sample Employee Data Report Request FormForm used to request a copy of the information potentially given to those requesting employment information from The Work Number.
Hourly Time Certification InstructionsInstructions for hourly employee reported time and pay certification
Hourly Time Certification FormAbsence and Additional Time Worked Report
Timesheet (STD 634)Absence and Additional Time Worked Report
Employee Action Request (EAR) STD. 686Form to complete address, withholdings, and name changes. Please use only the last 4 digits of SSN on form when submitting electronically. Please note the changes to the EAR form for 2020. For further clarification, please see the EAR Completion Guide.

Forms for Departments

Forms for Departments
FormDescription 
Additional Concurrent Employment FormForm to initiate a request to the employee's department head and supervisor requesting that the employee teach a course. 
Worksheet to Calculate OT for NonExempt Who TeachWorksheet to calculate the appropriate overtime rate for non-exempt staff who are approved to teach a course as lecturer. 
CSUSB Personnel/Payroll System Authorization ProcessStep by step guide for Personnel/Payroll System Authorization 
Payroll Signature Authorization FormForm used to identify department designees to collect paychecks and direct deposit advices, sign timesheets and student listings, etc. 
Master Payroll Certification Authorization FormForm used to identify the Attendance Clerk for Master Payroll Warrant Authorization process. 
Monthly Attendance Summary Form (AM 634)Form is used to report absences taken, but not reported within 90 days of the current period and to correct/adjust absences for a finalized period. 
Notice of Work Schedule Change FormForm is used to change employee work schedules to a 'Personal Schedule' that is not available in the Absence Management 'Predefined Schedule' list.