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.
Staff
The Employee Assistance Program (EAP) provides free and confidential counseling for employees and family members. The EAP can help address concerns with job stress, marital or family problems, substance abuse, emotional or other life crises (referral services also available). Please open the link for more information including contact information.
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.
The CSU Family Medical Leave (FML) provides employees with unpaid leave time for up to twelve (12) weeks to care for self or eligible family members. The CSU FML incorporates both the Federal Family Medical Leave Act (FMLA) and California Family Rights Act (CFRA) leave entitlements and run concurrently.