Forms

IMPORTANT: As of September 2018, UCLA has transitioned from the Personnel & Payroll System (PPS) to UCPath. Payroll support content can be found for historical purposes below. Questions regarding UCPath should be directed to the UCPath Center. UCLA Central Resource Unit (CRU) provides the UCLA campus and Medical Center support for topics listed in this article

Forms

Instructions

At Your Service Password Reset Form Self-explanatory
Employee DOMA FICA Consent Form (DOC) DOMA Consent Form Instructions
I-9, Employment Eligibility Verification
Select "Form I-9 (PDF, 551 KB)"

Overview to Processing the I-9 Form
Handbook for Employers (M-274) (PDF) 
Payroll Newsletter Archive
How Does an Employee Complete Section 1

I-9 Processor Form (PDF) How to Complete the I-9 Processor Form
Initial GLACIER Online Entry Form

 

Initial GLACIER Information Form Instructions

 

Late/Reduce Pay(EDLR) Worksheet (DOC)

 

How to Use the Late/Reduced (EDLR) Pay Worksheet

 

Oath & Patent Acknowledgement (PDF)

 

About the Oath and Patent Acknowledgement
How to Complete the Oath & Patent

 

Payroll Check Disposition Form (PDF)

 

Instructions on form

 

Payroll Feedback Form

 

Self-explanatory

 

Permission to Release Education Record Self-explanatory
Pretax Transportation Benefit Disclaimer Form - 2014 (DOC) Fax completed form to (310) 794-8751
Provisional Tax Statement Worksheet (DOC)

 

Provisional Tax Statement Worksheet Instructions

 

Remote Hire Authorized Agent Notice (PDF)

 

About the Remote Hire Authorized Agent Notice Form

 

Return Check for Reversal/Reduction Form (PDF)

 

PTR Manual, Section E8.4

 

States Withholding Requirements & Withholding Forms

 

Instructions available on each state's website

 

Unemployment Insurance Termination Report (PDF)

Unemployment Insurance Claim Information Letter (PDF)

California's Programs for the Unemployed (PDF)
About the Unemployment Insurance Termination Report

 

 

 

UPAY 830 - Out-f-State Income Tax Withholding Form (PDF)

 

UPAY 830 Instructions

 

UC W-4/DE 4 - Employee's Federal-State Withholding Allowance Certificate (PDF) IRS instructions included. For additional instructions, refer to: EDB Manual, Section B11.3