This form is required from the State and is used prior to employment or to make changes during employment, for determining exemption status for taxable deductions, and any other deductions sought.
Faculty
This form should be attached with the Payment Request Form if gift card(s) or gift certificate(s) were purchased and awarded to recipients.
http://www2.humboldt.edu/forms/node/594
Should you choose to participate in this program, and return this form with the requested information, you will receive a confirmation e-mail from Humboldt Accounts Payable notifying you that we have received your bank routing number and account number and that your electronic refund process has been set up. You will also receive an e-mail notification from Humboldt Accounts Payable when your direct deposit reimbursement has been processed and disbursed to your bank.
If you have any questions regarding this process, please contact Humboldt Business Services at 826-3512.
Available to eligible faculty unit employees only. For eligibility requirements and lists, visit the APS website. NOTE: Notarized Certification and/or Promissory Note are no longer required with application submission. Successful applicants will be required to submit notarized documents in conjunction with leave acceptance.
Dr. Susan Baxter, Executive Director of the California State University Program for Education and Research in Biotechnology (CSUPERB), will be visiting Humboldt’s campus on Thursday, October 24th and Friday, October 25th to meet with faculty, students, and administrators interested in CSUPERB funding opportunities and information about life sciences.