Fillable SPECIAL CONSULTANT AGREEMENT (California State University, Sacramento)

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SPECIAL CONSULTANT AGREEMENT (California State University, Sacramento)

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CALIFORNIA STATE UNIVERSITY, SACRAMENTO
SPECIAL CONSULTANT AGREEMENT
Special Consultants, Classification Code 4660, are appointed on a temporary basis to perform professional tasks. Such an appointment must not
conflict with a current employee’s regularly scheduled duties. All Special Consultants are to be paid a daily salary from temporary help accounts.
All Special Consultant appointments must be approved by the Office of Human Resources before any work may begin.
(Type the Consultant’s Name and Mailing Address in the box below)
Date: ___________________________________
EMPL ID: __________________________________
Telephone: ___________________________________
Department: ______________________________________
Department ID: ______________________
Project Grant: ____________________________________ Effective Date: __________________________________
Project Coordinator: _______________________________ Ending Date: ___________________________________
Telephone Extension: _____________________________ Total Days Authorized: __________________________________
Daily Rate: __________________________________
Total Pay Authorized: _________________________________
DAILY RATE WAS DETERMINED IN THE FOLLOWING MANNER: __________________________________________________________________
________________________________________________________________________________________________________________________
_ DESCRIPTION OF DUTIES TO BE PERFORMED - Complete Temporary Hire - Position Description
Project Coordinator SIGNATURE: ________________________________________________ Date: ________________________________
Department/Division Head SIGNATURE: _____________________________________ _____ Date: ________________________________
*****************************************************************************************************************************************************************************
TO BE COMPLETED BY CONSULTANT: (Current/Former CSUS Employee Status)
_____ Current CSUS Employee _____ Faculty _____ Full-Time
_____ Former CSUS Employee _____ Staff _____ Part-Time
_____ New CSUS Employee _____ Management (MPP) (Timebase:__________)
_____ PERS Retiree (Retired Annuitant) _____ Student Assistant ______ Hourly Intermittent
_____ Graduate Student
_____ Special Consultant
FOLLOWING APPROVAL OF THIS APPOINTMENT BY THE SENIOR ASSOCIATE VICE PRESIDENT FOR HUMAN RESOURCES, and subject to
the conditions stated on the reverse of this form, I agree to perform the duties described above within the time period indicated. As a new or returning
employee, I understand I will need to provide identification documents and complete certain forms in the Payroll Office prior to the effective date of this
appointment (see instructions on the reverse side of this form). In addition, I understand that no payment will be made without an approved time sheet
being submitted to the HR Payroll Office for each pay period worked. I certify that this Special Consultant assignment will not conflict with my regular
CSUS employment, if any.
_________________________________________________________ ______________________
Consultant’s Signature Date
*****************************************************************************************************************************************************************************
APPROVALS:
____________________________________ ______________ ______________
Dean /Program Administrator Date
___________________________________
Senior Associate Vice President for Human
Resources/Designee
Date
*****************************************************************************************************************************************************************************
INSTRUCTIONS: Submit, Temporary-Hire Position Description, CV/resume, this Special Consultant Agreement and a Personnel Transaction
Form (PTF) to Classification & Compensation for processing/approval. (E-mail to: classandcomprequests@csus.edu) See also Checklist.
(Rev. 11/04)
HR
OFFICE USE ONLY:
245- __ __ __ -4660-__ __ __
CHECK
ALL
THAT
APPLY
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CONDITIONS OF APPOINTMENT
Special Consultant appointments are approved for the dates, daily rate, and total number of days specified in this
agreement only. Any changes in the period of employment, the daily rate, or the total number of days authorized must be
submitted on a new agreement form and approved by the Vice President for Human Resources. Significant changes in
the actual assignment will also require a revised agreement form.
Special Consultant appointments automatically expire at the end of the period stated and do not establish consideration
for subsequent appointments.
In the event the assignment as described on the face of this agreement form is not completed or is not completed in a
satisfactory manner, the University reserves the right to cancel this appointment or to reduce the total number of days for
which payment will be made.
This contract must be signed by the Dean/Program Administrator and approved by the Vice President for Human
Resources before any work may begin.
Current CSU employees who accept additional employment as Special Consultant are subject to Additional Employment
Policy of the California State University (FSA 82-20) or the applicable Memorandum of Understanding (MOU), all of which
limit total employment within the CSU to a maximum of 125% of full-time.
PAYROLL SIGN-IN AND IRCA VERIFICATION
New employees (consultants) or those who have had a break in service of six months or more must complete an oath of
allegiance and a W-4 form in Payroll Services, Sacramento Hall 161. In order to establish identity and work authorization
under the Immigration Reform and Control Act of 1986 (IRCA), all new consultants or those who have had a break in
service are required to bring the documents listed below to HR Payroll Services, Sacramento Hall 161. The documents
must be presented within three (3) working days of the initial date of appointment or on the first day of employment if the
appointment is for less than 3 days:
Original Social Security Card*
Plus the original or certified copy of any one of the following documents:
Unexpired Driver’s License
State Issued Identification Card
U.S. Military Card
U.S. Passport
Unexpired Foreign Passport with work authorization stamp
Certification of U.S. Citizenship or Naturalization
Alien Resident or Registration Card (Visa) with photograph
*(This document is required by the University, not by IRCA. Xerox copies are unacceptable.)
The completion of these forms, the approval of this appointment, and an approved time sheet are necessary before
payment can be made.
BENEFITS
Special Consultants are not eligible for health, dental, or vision care insurance. They are, however, eligible for OASDI
(Social Security) and Workman’s Compensation and may be eligible for Unemployment Insurance.
REQUIRED TIME SHEETS AND PAYMENT PROCESS
Special Consultants are paid a daily rate for each day worked. An approved time sheet will be required before any
payment can be made. Time sheets must be submitted to the Project Coordinator or Department/Division Head upon
completion of the assignment or at the end of the monthly pay period, whichever comes first. For assignments spanning
more than one pay period, a separate time sheet will be required for each pay period. Payment will be made
approximately two weeks after submission of the approved time sheet to HR Payroll Services.
TAXES
Appropriate OASDI (Social Security), Federal, and State taxes will automatically be withheld from each payment.
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SPECIAL CONSULTANT AGREEMENT (California State University, Sacramento)

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Completed 28 January 2021

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