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Staff Personnel New Hire Forms

A new hire or rehire must attend an orientation and complete all paperwork before or on their start date. No exceptions.

Staff Orientations (Staff and Work-Study) are held every Tuesday at 9am in the Korn Meeting Room (16-035 CHS). Please contact Rose Hoang (rosehg@ucla.edu) if you are not able to attend this orientation time.

Academic Orientations (Faculty and Academic Apprentice) are held every Wednesday at 10am in the SPH Personnel Office (16-068 CHS). Please contact Susan Leonard (sleonard@ph.ucla.edu) if you are not able to attend this orientation time.

(Note: All links below open an Adobe PDF document in a new browser window. The latest Adobe Reader software can be downloaded for free.)

Form/Link Details
New Hire Checklist **For information only
Personal Data Form Complete all sections.
UC W-4/DE 4 Determine tax withholding.
State Oath of Allegiance & Patent Agreement (UPAY585) To be completed at orientation.
Employment Eligibility Verification (I-9) Please be prepared to present acceptable documentation during the orientation.

UCLA Employment Application

Complete all sections
Payroll Wage Disposition Select method of receiving your earnings.
Demographic Data Transmittal Please complete applicable sections.
Statement Regarding Employment Not Covered by Social Security (UCRS 419) Please complete if applicable. See "Who Must Sign the Form?"
Facts About Workers' Compensation and Physician Predesignation Please complete physician predesignation, if applicable. If not, please print, sign and date the last page.
Biweekly & Monthly Timesheet Schedule

January-June 2008
June - December 2008
Please check with your department for their departmental deadlines, which may be much earlier.
At Your service Online About At Your Service Online
SPH ID Badge/BruinCard Please get an ID Badge Application from SPH Personnel.
UCLA Map
(Map Directory)
For your reference.
"Be Prepared" Handbook Important safety information.