Fillable Employee Transaction Form 2019 05 (California State University, Los Angeles)

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Employee Transaction Form 2019 05 (California State University, Los Angeles)

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The Employee Transaction Form 2019 05 (California State University, Los Angeles) form is 1 page long and contains:

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  • 57 other fields

Country of origin: US
File type: PDF

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1.
Change in Units/Hours From: To:
Other:
Reinstatement
Placing on Leave
Extension of Leave
Administrative Leave
Return from Leave
1 Year
2 Years
On probation, probationary in another classification:
1 Year
2 Years
On probation, permanent/tenured in another classification:
1 Year
2 Years
Probation, partial waiver
On probation, following LWOP, W/C, IDL, or NDI
Permanent/tenured
Permanent/total waiver
Not Eligible for Permanent Status:
Temporary
Less than full-time
Positive attendance
Management Personnel Plan
Probationary in another classification, none this classification
Permanent/tenured in another classification, none this classification
(N)
(N)
(N)
(A)
(B)
(C)
10-Month*
11-Month*
*Indicate months off in
box 20. "Remarks"
(D)
(C)
(B)
11. Institution where highest degree earned
Indicate CSU(s):
10. Other Current CSU/Auxiliary Employment (including Cal State LA)?
20. Remarks:
24. Permanent/Tenure Status
(A)
HRM ETF (06/2019)
Non-Teaching
No Change
New Sabbatical/DIP Eligibility Date
Last Day
Physically Worked
22. Action/Reason
23. Academic Leave Conditions
Date:
Other:
(P)
27. Payroll Use:
Initials:
Month
(Q)
(J)
(I)
(E)
Year
Initials:
Date:
Reason:
(N)
Date
26. PeopleSoft Entry
Action:
Not Applicable
Financial Aid
Date
25. Probation Period End Date
Month
Day
Year
Sabbatical
Difference in Pay
Sabbatical Accrual
Tenure Credit
Month
Day
Year
Month
Day
Year
Demotion
Executive Officer
SSI Credit
On probation, no probation, or permanent status in another classification
Career Center
Date
Suspension
Human Resources Management
Date
Selected for announced position
Dean/Director
Date
Change from temporary to permanent appointment
Eligible for benefits (Must enroll within 60 days)
Fiscal Officer
Date
Reclassification
Payroll Return Date
21. This Document Prepared By:
Ext:
HRM USE ONLY
Department Head
Date
Day
Year
No Change
5/40
Expires on or Before
4/40
Month
Effective Date
Other (Indicate in "Remarks" box)
Month
Day
Year
Extension of Temporary Appointment
Spring 20
Internal Position Number Change Only
$
$
Step:
Semester
Fall 20
Hour
Academic Year 20
/20
Reassignment (Transfer)
$
$
Unit
Contract
Base
Actual
Day
12-Month
Promotion
16. Appointment Dates
17. Action/Reason
18. Compensation Rate
Hire/Rehire
Month
14. Position Chart Field
15. Concurrent Position Chart Field
Account:
Fund:
Dept. ID:
Program:
Account:
Fund:
Dept. ID:
Program:
Hours
Units
Units
PS Position #
Unit
Job Code
Grade
Rec
PS Position #
Unit
Job Code
Grade
Rec
Hours
**Contact department/college/division resource manager for the position and chart field information**
12. Position
Time Base
13. Concurrent Position
Time Base
Teaching
8. Working Title
9. Supervisor & Extension
Degree
Month
Year
5. Job Classification Description
6. Department
7. College/Division
Staff
TA
Yes
No
MPP
GA
Employee Transaction Form
Requisition #:
California State University, Los Angeles
Faculty
Student
2. Rehired Annuitant?
3. PeopleSoft Employee ID No.
4. Legal Name (Last, First, Middle)
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Employee Transaction Form 2019 05 (California State University, Los Angeles)

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Completed 22 July 2020

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