Teaching Associates/Graduate Assistants

Forms to Complete

• Employment Eligibility Verification - Form I-9 (PDF)
• Employee Action Request (EAR)--STD. 686 (PDF)
  • If you are a Non-Resident Aliens (NRAs)
    • Section E-I: Mark Single and 1 for your federal and state allowance.
    • Section E-II: Leave blank.

• Personal Data Form (PDF)
• Self-Identification Form (PDF)
• Veteran Self-Identification Form (PDF)
• Designation of Person Authorized to Receive Warrants--Form STD. 243 (PDF)
• Oath of Allegiance and Delaration of Permission to Work for Persons Employed by the State of California - Form STD, 689 (PDF)
• CalPERS Reciprocal Self Certification Form
• Statement Concerning Your Employment in a Job Not Covered by Social Security--CSU Fomr SSA-1945 (PDF) (Applies to temporary employees who do not qualify for CalPERS Membership)

Enroll in Direct Deposit

Enjoy the convenience of having your paycheck hit your account automatically!  For eligibility information and instructions on how to enroll, please visit Payroll Services' Direct Deposit webpage.

Policy Statements

• Non-Discrimination and Sexual Harassment (PDF)
• Summary of the Drug-Free Policy of California State Polytechnic University, Pomona (PDF)
• Whistleblower (PDF)
• Zero Tolerance Policy on Campus Violence (PDF)

Information to Read and Retain

• Sick Leave, Vacation, and Personal Holiday (PH) (PDF)
• Workers' Compensation - Reporting Injuries/Illnesses (PDF)
• Workers' Compensation Personal Physician Predesignation Form:
  • If physician is either an M.D. or a D.O. (PDF)
  • If physician is either a Chiropractor or an Acupuncturist (PDF)
• Disclosure of Social Security Account Number (PDF)
• Health Benefits Eligibility
• Calculation of California Public Employee's Retirement System (CalPERS) and Social Security (OASDI) Contributions (DOC)
• CalPERS Request for Service Credit Information - Military Leave of Absence Service (PERS-MDS-369A) Form - This form is for new employees and those returning from a military leave to purchase their active duty military service credit through CalPERS.  For additional information view Service Credit for Military Leaves of Absence - Information on Senate Bill (SB) 294
• Whistleblower Hotline (PDF)
• Asbestos Locations
• Senate Bill 41 (DOC)
• Employment Verifications - Work Number for Everyone
• Pay Period & Holiday Calendar
• UAW Local 4123 Membership Form (PDF)
• Covered California Notice (PDF)