Administrative Forms
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Statement Concerning University Employees Not Covered By Social Security
All employees, both academic and staff, hired on or after January 1, 2005 with FICA codes of M or N must complete the Form 419 on their first day of employment. Those employees who began on or after January 1, 2005 and have not signed the form should also do so as soon as possible.
UCRS 419 (R1/05) [PDF for printing]
PPS Request Forms
Please use these forms to request any future changes to your department/unit PPS organizational structure and/or OPTRS PAN setup.
PPS Access Application [PDF for printing]
OPTRS Pan Form [PDF for printing]
PPS Organizational Structure Form [PDF for printing]
Request to Substitute Nonresident Tuition Remission for a GSR
Tuition Remission Request form in Adobe PDF format
Material Transfer Request Form
Used whenever samples, specimens, or product is going to be transferred to our department.
MTRF form in Adobe PDF format
Temporary Affiliate Form
For the temporary addition of computing accounts for guest faculty, staff, visiting scholars, and others when deemed necessary by an affiliated UC Davis department.
Form in Adobe PDF format
Declaration of Lost Evidence Form
Declaration of lost evidence that a payment was made on behalf of the regents of the University of California
Form in Word Doc format
Statement Concerning University Employees Not Covered By Social Security
All employees, both academic and staff, hired on or after January 1, 2005 with FICA codes of M or N must complete the Form 419 on their first day of employment. Those employees who began on or after January 1, 2005 and have not signed the form should also do so as soon as possible.
UCRS 419 (R1/05) [PDF for printing]
PPS Request Forms
Please use these forms to request any future changes to your department/unit PPS organizational structure and/or OPTRS PAN setup.
PPS Access Application [PDF for printing]
OPTRS Pan Form [PDF for printing]
PPS Organizational Structure Form [PDF for printing]
Request to Substitute Nonresident Tuition Remission for a GSR
Tuition Remission Request form in Adobe PDF format
Material Transfer Request Form
Used whenever samples, specimens, or product is going to be transferred to our department.
MTRF form in Adobe PDF format
Temporary Affiliate Form
For the temporary addition of computing accounts for guest faculty, staff, visiting scholars, and others when deemed necessary by an affiliated UC Davis department.
Form in Adobe PDF format
Declaration of Lost Evidence Form
Declaration of lost evidence that a payment was made on behalf of the regents of the University of California
Form in Word Doc format