Form | Description | Campus |
|---|---|---|
Damage Payments | ||
| Damage Payment Report of Services Performed Before Signing Loyalty Oath (PDF) | Payment made to an employee who performs services for the university prior to signing the State Oath of Allegiance. A damage payment constitutes a settlement of an employee's claim based upon services rendered. | UC Davis |
| Loyalty Oath—Damage Payment Release (PDF) | Payment made to an employee who performs services for the university prior to signing the State Oath of Allegiance. A damage payment constitutes a settlement of an employee's claim based upon services rendered. | UC Davis |
Special Handling of Payroll | ||
| Declaration of Lost or Destroyed UCD Check (PDF) | Used by employees to request a stop payment and reissue of check that has been lost, destroyed, or was not received with check date prior to October 1, 2019. | UC Davis |
| Declaration of Lost or Destroyed UCD Payroll Vendor Check (PDF) | Used by vendor to request a stop payment and reissue of check that has been lost, destroyed, or was not received with check date prior to October 1, 2019. | UC Davis |
| UPAY 564-3 - One-Time Payroll Payment Authorization (PDF) | Used by department to document approval of transactions expected to occur once, not routinely or expected to occur again. | UC Davis |
| UPAY 644D - Payroll Time Reporting Adjustment Worksheet (XLS) | May be used by department to document approval for adjustments to payroll earnings. | UC Davis |
Transfer of Payroll | ||
Dept Pre-Approval Form: Transfer of Salary Expense (Extramural Fund Source) (PDF) Additional Pages: Transfer of Salary (Exramural Fund Source) | Form submitted by department with Contracts & Grants Accounting approval to move expenses onto account with 120 day restrictions. | UC Davis |
Interlocation Payment Forms | ||
| Multilocation Appointment / One Time Payment (PDF) | Used by both Host and Home campus for employee with payroll payment coming from more than one campus. | UC Davis |
Employment Forms | ||
| Statement of Citizenship (PDF) | Form completed by non-US citizens at time of hire to identify tax status as resident or non-resident alien. | UC Davis |
| Verification of Previous Employment (PDF) | Used by employee to request verification of previous UC, CSU, or State of CA employment. Submit to: Central Payroll Office | UC Davis |
| W-4 - Employee Federal-State Withholding Allowance Certificate | All withholding updates are now completed through UCPath. | UC Davis / UC Davis Health |
| W-4 (Non-Resident Alien) - Employee's Federal-State Withholding Allowance Certificate | All withholding updates are now completed through UCPath. | UC Davis / UC Davis Health |
Historical W2 Request Form | ||
| W2 Request Form (PDF) | Request historical (2019 or earlier) W2 tax form | UC Davis / UC Davis Health |
