human resources personal data sheet confidentialdeductions, certain credits, adjustments to income,...

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Human Resources Personal Data Sheet Phone: 310-506-4397 Email: [email protected] Web: http://community.pepperdine.edu/hr Address Change? Update your personal information through “My Information” in WaveNet Title: First Name: M.I.: Last Name: CWID: Preferred Name (if different from above): Date of Birth: Gender: M F Marital Status: Single Married Separated Divorced Widowed Highest Education Level Completed: 01. No Formal Education D. Some College G. Bachelor's Level Degree K. Doctorate (Professional) B. Less than High School Completion E. Technical School I. Master's Level Degree M. Ph.D C. High School graduate or equivalent F. 2-year College Degree J. Doctorate (Academic) Home Address: Mailing Address: (where your W-2 will go if different from Home) Phone Numbers: (please check your preferred contact number) Social Security Number: Home: Cell: Personal Email Address: *Faculty: please check your Pepperdine email regularly, or have it forwarded to your preferred email address Ethnic Background: I am Hispanic or Latino I am not Hispanic or Latino Race (check all that apply): White Black/African American American Indian/Alaskan Asian Native Hawaiian/Other Pacific Islander Military Service: I have served, or currently serve, in the US military Religious Affiliation: 00 – Decline to State 06 – Church of Christ 12 – Lutheran 18 – Unitarian 25 – Islam 01 – Assembly of God 07 – Congregational 13 – Methodist 19 – None 02 – Baptist 08 – Disciples of Christ 14 – Church of God 20 – Other 03 – Buddhist 10 – Jewish 15 – Eastern Orthodox 22 – Christian Church 04 – Catholic 11 –Church of Jesus Christ 16 – Presbyterian 23 – Protestant 05 – Christian Science of Latter-Day Saints 17 – Seventh Day Adventist 24 – Episcopal Updated 1/12/201 For Current Employees: I have legally changed my name (SS card req’d). Former Name: I am updating data I cannot change under the My Information link in WaveNet For New Employees: I have previously worked for Pepperdine–dates of employment: I am a current/former Pepperdine student–dates of study: Emergency Contact Information: Contact’s address is same as mine Name: Phone Number: Relationship: I affirm that the above information is true Signature __________________________________________________ Date: __________________ Street: City: State: Zip: Street: City: State: Zip: Confidential

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Page 1: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

Human Resources Personal Data Sheet

Phone: 310-506-4397 Email: [email protected] Web: http://community.pepperdine.edu/hr

Address Change? Update your personal information through “My Information” in WaveNet

Title:

First Name:

M.I.:

Last Name:

CWID:

Preferred Name (if different from above):

Date of Birth:

Gender: M F

Marital Status: Single Married Separated Divorced Widowed

Highest Education Level Completed: 01. No Formal Education D. Some College G. Bachelor's Level Degree K. Doctorate (Professional) B. Less than High School Completion E. Technical School I. Master's Level Degree M. Ph.D C. High School graduate or equivalent F. 2-year College Degree J. Doctorate (Academic)

Home Address:

Mailing Address: (where your W-2 will go if different from Home)

Phone Numbers: (please check your preferred contact number) Social Security Number: Home: Cell:

Personal Email Address: *Faculty: please check your Pepperdine email regularly, or have it forwarded to your preferred email address

Ethnic Background:

I am Hispanic or Latino I am not Hispanic or Latino

Race (check all that apply): White Black/African American American Indian/Alaskan Asian Native Hawaiian/Other Pacific Islander

Military Service:

I have served, or currently serve, in the US military

Religious Affiliation: 00 – Decline to State 06 – Church of Christ 12 – Lutheran 18 – Unitarian 25 – Islam 01 – Assembly of God 07 – Congregational 13 – Methodist 19 – None 02 – Baptist 08 – Disciples of Christ 14 – Church of God 20 – Other 03 – Buddhist 10 – Jewish 15 – Eastern Orthodox 22 – Christian Church 04 – Catholic 11 –Church of Jesus Christ 16 – Presbyterian 23 – Protestant 05 – Christian Science of Latter-Day Saints 17 – Seventh Day Adventist 24 – Episcopal

Updated 1/12/201н

For Current Employees:

I have legally changed my name (SS card req’d). Former Name: I am updating data I cannot change under the My Information link in WaveNet

For New Employees: I have previously worked for Pepperdine–dates of employment: I am a current/former Pepperdine student–dates of study:

Emergency Contact Information: Contact’s address is same as mine Name:

Phone Number: Relationship:

I affirm that the above information is true

Signature __________________________________________________ Date: __________________

Street: City: State: Zip:

Street: City: State: Zip:

Confidential

Page 2: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

 

PAYROLL  DIRECT DEPOSIT  AU THORIZATION AND  AGREEMENT The Payroll Direct Deposit service is offered with the explicit understanding that Pepperdine University is not responsible for any financial liability that may result from the electronic transactions by and between Bank of America and your financial institution.

The accuracy of the information you are provided herein is solely your responsibility.

INSTRUCTIONS BALANCE ACCOUNT - To deposit your net pay into only one account, complete the information required for Balance account only. AMOUNT/PERCENT ACCOUNT - If you wish to deposit money in two different accounts, or two different banks, complete the information requested for the Amount/Percent account. This must include a specific amount.

IMPORTANT FOR DEPOSITS TO A CHECKING OR SHAREDRAFT ACCOUNT, PLEASE ATTACH A COPY OF A VOIDED CHECK TO THIS FORM.

All information provided on this form will supersede any previous forms.

Bi-Weekly Monthly New Request Change Name (Last, First, MI) _______________________________________________________________ Campus-Wide ID ___________________ Phone No. _________________________________________________________________________________________________________ BALANCE ACCOUNT Account No. __________________________________________________________________________________ Checking Savings Routing No. ________________________________________ Financial Institution ________________________________________________ Address ___________________________________________ City ____________________ State ________ Zip Code ___________________ AMOUNT/PERCENT ACCOUNT Account No. ________________________________________ Amount __________________________________ Checking Savings Routing No. ________________________________________ Financial Institution ________________________________________________ Address ___________________________________________ City ____________________ State ________ Zip Code ___________________ Once you have returned the completed Payroll Direct Deposit Authorization and Agreement to Payroll you can expect that in most cases the pay will be deposited into your account on the next payday. Please Note: If you would like to deposit money into more than two accounts please log on to Pepperdine University WaveNet and under Self Service/Payroll and Compensation/Direct Deposit click on Add Account. AUTHORIZATION I hereby authorize Pepperdine University to initiate deposits (credits) and/or corrections to the previous credits to the financial institution(s) indicated above. The financial institution(s) is authorized to credit and/or correct the amount to my account. This authority is to remain in full force and effect until either I revoke it by giving 10 days written notice to Pepperdine University or, upon termination of my employment with Pepperdine University. PLEASE NOTE: IF A VOIDED CHECK IS NOT ATTACHED, WE CANNOT GUARANTEE THE ACCURACY OF YOUR DEPOSIT

Signature Print Name Date Extension

Return Completed Form to the Payroll Office - Mail Code 4636

Version: 01.01.10

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Page 3: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

Form W-4 (2012)Purpose. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.

Exemption from withholding. If you are exempt, complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2012 expires February 18, 2013. See Pub. 505, Tax Withholding and Estimated Tax.

Note. If another person can claim you as a dependent on his or her tax return, you cannot claim exemption from withholding if your income exceeds $950 and includes more than $300 of unearned income (for example, interest and dividends).

Basic instructions. If you are not exempt, complete the Personal Allowances Worksheet below. The worksheets on page 2 further adjust your withholding allowances based on itemized deductions, certain credits, adjustments to income, or two-earners/multiple jobs situations.

Complete all worksheets that apply. However, you may claim fewer (or zero) allowances. For regular wages, withholding must be based on allowances you claimed and may not be a flat amount or percentage of wages.

Head of household. Generally, you can claim head of household filing status on your tax return only if you are unmarried and pay more than 50% of the costs of keeping up a home for yourself and your dependent(s) or other qualifying individuals. See Pub. 501, Exemptions, Standard Deduction, and Filing Information, for information.

Tax credits. You can take projected tax credits into account in figuring your allowable number of withholding allowances. Credits for child or dependent care expenses and the child tax credit may be claimed using the Personal Allowances Worksheet below. See Pub. 505 for information on converting your other credits into withholding allowances.

Nonwage income. If you have a large amount of nonwage income, such as interest or dividends, consider making estimated tax payments using Form 1040-ES, Estimated Tax for Individuals. Otherwise, you may owe additional tax. If you have pension or annuity

income, see Pub. 505 to find out if you should adjust your withholding on Form W-4 or W-4P.

Two earners or multiple jobs. If you have a working spouse or more than one job, figure the total number of allowances you are entitled to claim on all jobs using worksheets from only one Form W-4. Your withholding usually will be most accurate when all allowances are claimed on the Form W-4 for the highest paying job and zero allowances are claimed on the others. See Pub. 505 for details.

Nonresident alien. If you are a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form.

Check your withholding. After your Form W-4 takes effect, use Pub. 505 to see how the amount you are having withheld compares to your projected total tax for 2012. See Pub. 505, especially if your earnings exceed $130,000 (Single) or $180,000 (Married).

Future developments. The IRS has created a page on IRS.gov for information about Form W-4, at www.irs.gov/w4. Information about any future developments affecting Form W-4 (such as legislation enacted after we release it) will be posted on that page.

Personal Allowances Worksheet (Keep for your records.)A Enter “1” for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . A

B Enter “1” if: { • You are single and have only one job; or• You are married, have only one job, and your spouse does not work; or . . .• Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.

} B

C Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more than one job. (Entering “-0-” may help you avoid having too little tax withheld.) . . . . . . . . . . . . . . C

D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . DE Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) . . EF Enter “1” if you have at least $1,900 of child or dependent care expenses for which you plan to claim a credit . . . F

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.) G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

• If your total income will be less than $61,000 ($90,000 if married), enter “2” for each eligible child; then less “1” if you have three to seven eligible children or less “2” if you have eight or more eligible children.

• If your total income will be between $61,000 and $84,000 ($90,000 and $119,000 if married), enter “1” for each eligible child . . . GH Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) ▶ H

For accuracy, complete all worksheets that apply. {

• If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions and Adjustments Worksheet on page 2. • If you are single and have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed $40,000 ($10,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to avoid having too little tax withheld.• If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.

Separate here and give Form W-4 to your employer. Keep the top part for your records.

Form W-4Department of the Treasury Internal Revenue Service

Employee's Withholding Allowance Certificate▶ Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

OMB No. 1545-0074

20121 Your first name and middle initial Last name

Home address (number and street or rural route)

City or town, state, and ZIP code

2 Your social security number

3 Single Married Married, but withhold at higher Single rate.

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

4 If your last name differs from that shown on your social security card,

check here. You must call 1-800-772-1213 for a replacement card. ▶

5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 56 Additional amount, if any, you want withheld from each paycheck . . . . . . . . . . . . . . 6 $

7 I claim exemption from withholding for 2012, and I certify that I meet both of the following conditions for exemption.• Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and• This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.If you meet both conditions, write “Exempt” here . . . . . . . . . . . . . . . ▶ 7

Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.

Employee’s signature (This form is not valid unless you sign it.) ▶ Date ▶

8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN)

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W-4 (2012)

Page 4: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

Form W-4 (2011) Page 2 Deductions and Adjustments Worksheet

Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.

1 Enter an estimate of your 2011 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and miscellaneous deductions . . . . . . . . . . . . . . . . . . . . . . . . . 1 $

2 Enter: { $11,600 if married filing jointly or qualifying widow(er)$8,500 if head of household . . . . . . . . . . .$5,800 if single or married filing separately

} 2 $

3 Subtract line 2 from line 1. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 3 $4 Enter an estimate of your 2011 adjustments to income and any additional standard deduction (see Pub. 919) 4 $5 Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to

Withholding Allowances for 2011 Form W-4 Worksheet in Pub. 919.) . . . . . . . . . . . 5 $6 Enter an estimate of your 2011 nonwage income (such as dividends or interest) . . . . . . . . 6 $7 Subtract line 6 from line 5. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 7 $8 Divide the amount on line 7 by $3,700 and enter the result here. Drop any fraction . . . . . . . 89 Enter the number from the Personal Allowances Worksheet, line H, page 1 . . . . . . . . . 9

10 Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet, also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10

Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)Note. Use this worksheet only if the instructions under line H on page 1 direct you here.1 Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 12 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if

you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more than “3” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter “-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet . . . . . . . . . 3

Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4 through 9 below to figure the additional withholding amount necessary to avoid a year-end tax bill.

4 Enter the number from line 2 of this worksheet . . . . . . . . . . 45 Enter the number from line 1 of this worksheet . . . . . . . . . . 56 Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . 67 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here . . . . 7 $8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . . 8 $9 Divide line 8 by the number of pay periods remaining in 2011. For example, divide by 26 if you are paid

every two weeks and you complete this form in December 2010. Enter the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck . . . . . . . . 9 $

Table 1Married Filing Jointly

If wages from LOWEST paying job are—

Enter on line 2 above

$0 - $5,000 - 05,001 - 12,000 - 1

12,001 - 22,000 - 222,001 - 25,000 - 325,001 - 30,000 - 430,001 - 40,000 - 540,001 - 48,000 - 648,001 - 55,000 - 755,001 - 65,000 - 865,001 - 72,000 - 972,001 - 85,000 - 1085,001 - 97,000 - 1197,001 -110,000 - 12

110,001 -120,000 - 13120,001 -135,000 - 14135,001 and over 15

All Others

If wages from LOWEST paying job are—

Enter on line 2 above

$0 - $8,000 - 08,001 - 15,000 - 1

15,001 - 25,000 - 225,001 - 30,000 - 330,001 - 40,000 - 440,001 - 50,000 - 550,001 - 65,000 - 665,001 - 80,000 - 780,001 - 95,000 - 895,001 -120,000 - 9

120,001 and over 10

Table 2Married Filing Jointly

If wages from HIGHEST paying job are—

Enter on line 7 above

$0 - $65,000 $56065,001 - 125,000 930

125,001 - 185,000 1,040185,001 - 335,000 1,220335,001 and over 1,300

All Others

If wages from HIGHEST paying job are—

Enter on line 7 above

$0 - $35,000 $56035,001 - 90,000 93090,001 - 165,000 1,040

165,001 - 370,000 1,220370,001 and over 1,300

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a properly completed form will result in your being treated as a single person who claims no withholding allowances; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation, to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103.

The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return.

If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.

Page 5: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

Computer & Network Responsible Usage Policy

Purpose

Pepperdine University provides access to computing and network resources in order to support its instruction, research, and service missions; administrative functions; and student and campus life activities. All such use shall be ethical and consistent with the University's mission. Any other uses, including uses that jeopardize the integrity of the Pepperdine network, the privacy or safety of other users, or that are otherwise illegal, are prohibited.

Applicability This policy applies to all users of University computing and network resources, whether affiliated with Pepperdine or not, and to all uses of those resources, whether on campus or from remote locations.

Conditions for Use Users of Pepperdine University computer and network resources must:

Follow all applicable federal, state or local laws. Follow all relevant University rules, regulations, policies and procedures, including the IT use policies and

procedures published for specific systems. Actively maintain the security of personally-owned and University-assigned computers. Report privacy, security or policy violations to the Information Security office.

Prohibitions Users of Pepperdine University computer and network resources must not:

Utilize any identity or account not specifically assigned to the user Hinder, monitor or intercept another user's network traffic. Disclose, destroy or capture personal, confidential or restricted data. Use resources for commercial purposes or personal financial gain. Use resources for unauthorized access of any system or network.

Peer-to-Peer and File Sharing Notice Users must not engage in the unauthorized copying, distributing, altering, maintaining or transmitting of copyrighted materials, information, software, music or other media.

Security and Privacy Users' University computer and network passwords must conform to IT's published complexity and length requirements, and must not be shared with any other person, used in non-University accounts, or otherwise disclosed. Passwords must be changed immediately if disclosed or compromised.

The University employs various measures to protect the security of its information resources. Users should be aware that their uses of University computer and network resources are not private. While the University does not routinely monitor individual usage, the normal operation and maintenance of the University's computing resources require backup, logging of activity, the monitoring of general and individual usage patterns, and other such activities that are necessary for information security and the rendition of service. In addition, the University reserves the right to review, monitor and/or capture any content residing on, or transmitted over, its computers or network at its sole discretion. The University reserves the right to limit access to its computers or network, and to remove or limit access to material residing on its computers or network.

The most current version of the Computer and Network Responsible Use Policy and any technical requirements and guidelines related to this policy are published at http://community.pepperdine.edu/it/security/policies/.

Page 6: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

24255 Pacific Coast Highway, Malibu, California 90263-4173 • 310-506-4173 • Fax: 310-506-4353

COMPUTER AND NETWORK RESPONSIBLE USAGE POLICY

Pepperdine University-owned computers and systems are to be used only by authorized persons for university business and academic purposes. Use of the university’s technology is governed by the Computer and Network Responsible Usage Policy. Your use of university-owned computers and networks constitutes acceptance of the conditions set forth in the above-mentioned policy. If you do not accept, you must refrain from using university-owned computers and networks.

The most current version of the Computer and Network Responsible Use Policy and any technical requirements and guidelines related to this policy are published at http://community.pepperdine.edu/it/security/policies/.

Authorization

I have read the above and agree to abide by the terms set forth in the university's Computer and Network Responsible Usage Policy.

_______________________________ ______________________________ ______________________ Last Name First Name Middle Name

_______________________________ ______________________________ ______________________ Signature Date CWID

Page 7: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

September 2012

Confidentiality-Security Agreement

I, as an employee of Pepperdine University agree to adhere to the established policies and procedures related to information security and confidentiality. I understand my responsibility of trust and agree to perform my job utilizing the security procedures of the University as stated below:

1. All information processed through University information systems is considered sensitive and/or confidential. This information is governed by University policy. The responsibility for determining the release or discussion of data is assigned to specific individuals in each office. Access to information is based on a legitimate “need to know” and directly related to my assigned duties within the University.

2. I will not reveal any salary, sensitive personnel information (SPI), protected health information (PHI), or other confidential personnel information to any unauthorized person.

3. If I am in doubt about a particular individual’s authorization, I will confirm it with my supervisor prior to releasing the information.

4. University computers will be used for authorized purposes only. I understand that I am responsible for the security of whatever data I retrieve and, ultimately, for the documents produced, published or otherwise communicated.

5. By logging on to these computer systems, I acknowledge my responsibility for strictly adhering to University policy and state and federal law. I am also aware that penalties exist for unauthorized access, unauthorized use, or unauthorized distribution of information from these systems including, but not limited to, FERPA and HIPAA protected information

6. I will report to my supervisor any security violation as soon as I become aware of it.

7. I will provide all necessary safeguards to all confidential information or software in my possession. I will not copy licensed software or use it except in accordance with established procedures or agreements, nor will I assist others to do so. When in doubt, I will confer with my supervisor.

8. I agree further not to attempt to circumvent the computer security system or attempting to use any transactions, software, computer files, or resources that I am not authorized to use. Any information downloaded from these systems and transported on portable devices (laptops, thumb drives, etc.) will be encrypted.

9. Where I have responsibilities for the reproduction, destruction or modification of information, I will be sure to research and follow all established procedures governing these responsibilities before taking action. When in doubt, I will confer with my supervisor.

10. I understand that if granted access I am to restrict my retrieval and other computing activities only to information I have been specifically permitted to access as related to my assigned duties and using only functions and utilities which I have been authorized and trained to use. This includes use of all application software (including, but not limited to, PeopleSoft Human Resources, Finance and Student Administration modules, Sakai, Hyperion, Simpler, PeopleAdmin, Form I-9, HireRight, ARMS, TMA, and Tuition Database) screens as well.

11. I understand that I will be violating the University’s policies and state and federal law if I gain or help others gain unauthorized access to the PeopleSoft system for finance, human resources, and student administration. I acknowledge that neither I nor anyone else possesses the authority to allow anyone to use my NetworkID or password, and that I am responsible for their security.

I understand that if I violate the University’s policies and state and federal laws by gaining or helping others gain unauthorized access to these systems, I will be subject to University disciplinary action (including possible termination of employment) and criminal prosecution to the full extent of the law. ______________________________________ Department ______________________________________ Employee Signature Date

Page 8: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

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/13

03

/11

/13

H1

30

70

3/1

1/1

30

3/2

4/1

3C

03

/29

/13

02

/27

/13

03

/04

/13

03

/18

/13

03

/25

/13

H1

30

80

3/2

5/1

30

4/0

7/1

3C

MD

04

/12

/13

03

/14

/13

03

/18

/13

04

/01

/13

04

/08

/13

H1

30

90

4/0

8/1

30

4/2

1/1

3C

MD

04

/26

/13

03

/27

/13

04

/01

/13

04

/15

/13

04

/22

/13

H1

31

00

4/2

2/1

30

5/0

5/1

3C

MD

05

/10

/13

04

/10

/13

04

/15

/13

04

/29

/13

05

/06

/13

H1

31

10

5/0

6/1

30

5/1

9/1

3C

MD

05

/24

/13

04

/22

/13

04

/26

/13

05

/13

/13

05

/20

/13

H1

31

20

5/2

0/1

30

6/0

2/1

3C

MD

06

/07

/13

05

/08

/13

05

/13

/13

05

/24

/13

06

/03

/13

H1

31

30

6/0

3/1

30

6/1

6/1

3C

MD

06

/21

/13

05

/21

/13

05

/24

/13

06

/10

/13

06

/17

/13

H1

31

40

6/1

7/1

30

6/3

0/1

3C

MD

07

/05

/13

06

/05

/13

06

/10

/13

06

/24

/13

07

/01

/13

H1

31

50

7/0

1/1

30

7/1

4/1

3C

MD

07

/19

/13

06

/19

/13

06

/24

/13

07

/05

/13

07

/15

/13

H1

31

60

7/1

5/1

30

7/2

8/1

3C

MD

08

/02

/13

07

/02

/13

07

/08

/13

07

/18

/13

07

/29

/13

H1

31

70

7/2

9/1

30

8/1

1/1

3C

MD

08

/16

/13

07

/17

/13

07

/22

/13

08

/01

/13

08

/12

/13

H1

31

80

8/1

2/1

30

8/2

5/1

3C

08

/30

/13

07

/31

/13

08

/05

/13

08

/19

/13

08

/26

/13

H1

31

90

8/2

6/1

30

9/0

8/1

3C

MD

09

/13

/13

08

/07

/13

08

/15

/13

08

/30

/13

09

/09

/13

H1

32

00

9/0

9/1

30

9/2

2/1

3C

MD

09

/27

/13

08

/27

/13

08

/30

/13

09

/16

/13

09

/23

/13

H1

32

10

9/2

3/1

31

0/0

6/1

3C

MD

10

/11

/13

09

/11

/13

09

/16

/13

09

/30

/13

10

/07

/13

H1

32

21

0/0

7/1

31

0/2

0/1

3C

MD

10

/25

/13

09

/25

/13

09

/30

/13

10

/14

/13

10

/21

/13

H1

32

31

0/2

1/1

31

1/0

3/1

3C

MD

11

/08

/13

10

/10

/13

10

/14

/13

10

/28

/13

11

/04

/13

H1

32

41

1/0

4/1

31

1/1

7/1

3C

MD

11

/22

/13

10

/23

/13

10

/28

/13

11

/11

/13

11

/18

/13

H1

32

51

1/1

8/1

31

2/0

1/1

3C

MD

12

/06

/13

11

/06

/13

11

/11

/13

11

/21

/13

12

/02

/13

H1

32

61

2/0

2/1

31

2/1

5/1

3C

MD

12

/20

/13

11

/20

/13

11

/25

/13

12

/09

/13

12

/16

/13

H1

40

11

2/1

6/1

31

2/2

9/1

3C

MD

01

/03

/14

12

/4/1

3**

12

/9/1

3**

12

/13

/13

**

12

/20

/13

*

H1

40

21

2/3

0/1

30

1/1

2/1

4C

MD

01

/17

/14

12

/6/1

3**

12

/13

/13

**

1/0

6/1

4**

Biw

ee

kly HR

staff pap

erw

ork d

ead

line

s are b

ased

on

payro

ll pro

cessin

g de

adlin

es.

Biw

ee

kly HR

faculty p

ape

rwo

rk de

adlin

es are

base

d o

n p

ay pe

riod

be

gin d

ates co

nsid

erin

g pe

riod

s of h

eavy vo

lum

e an

d h

olid

ays allow

ing H

R su

fficien

t time

to p

roce

ss faculty co

ntract p

ayme

nts an

d to

facilitate accu

rate K

RO

NO

S time

reco

rdin

g.

BIW

EEK

LY

PA

YR

OLL S

CH

ED

ULE 2

013

Pa

y D

ate

**

Imp

orta

nt D

ates fo

r 20

14

M =

Med

ical D

edu

ction

sD

= D

enta

l Ded

uctio

ns

C =

Cre

dit U

nio

n D

ed

uctio

ns

Page 9: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,

Pay

Perio

dP

ay

Perio

dP

ay

Perio

dP

ay

Da

teM

alib

u P

ay

roll

Pro

vo

st M

alib

u H

RM

alib

u H

R

IDB

egin

Da

teE

nd

Date

Tim

ecard

Fa

culty

Pa

perw

ork

Facu

lty P

ap

erwork

Sta

ff Pap

erwork

Dea

dlin

e-10

a.m

.D

ead

line-5

p.m

. D

ead

line-5

p.m

.D

ead

line-N

oon

M1301

01/0

1/1

301/3

1/1

301/2

5/1

301/1

6/1

31

2/1

8/1

201/0

4/1

301/1

1/1

3

M1302

02/0

1/1

302/2

8/1

302/2

6/1

302/1

7/1

302/0

6/1

302/1

2/1

302/1

3/1

3

M1303

03/0

1/1

303/3

1/1

303/2

6/1

303/1

7/1

303/0

7/1

303/1

2/1

303/1

3/1

3

M1304

04/0

1/1

304/3

0/1

304/2

6/1

304/1

7/1

304/0

5/1

304/1

1/1

304/1

2/1

3

M1305

05/0

1/1

305/3

1/1

305/2

4/1

305/1

5/1

305/0

3/1

305/0

9/1

305/1

0/1

3

M1306

06/0

1/1

306/3

0/1

306/2

6/1

306/1

7/1

306/0

7/1

306/1

1/1

306/1

2/1

3

M1307

07/0

1/1

307/3

1/1

307/2

6/1

307/1

7/1

307/0

8/1

307/1

1/1

307/1

1/1

3

M1308

08/0

1/1

308/3

1/1

308/2

6/1

308/1

5/1

307/2

6/1

308/0

5/1

308/0

9/1

3

M1309

09/0

1/1

309/3

0/1

309/2

6/1

309/1

7/1

309/0

3/1

309/1

0/1

309/1

2/1

3

M1310

10/0

1/1

310/3

1/1

310/2

5/1

310/1

6/1

310/0

4/1

310/1

0/1

310/1

1/1

3

M1311

11/0

1/1

311/3

0/1

311/2

6/1

311/1

6/1

311/0

5/1

311/1

2/1

311/1

3/1

3

M1312

12/0

1/1

312/3

1/1

312/2

3/1

312/1

3/1

312/0

3/1

312/0

9/1

312/0

9/1

3

M1401

01/0

1/1

401/3

1/1

401/2

4/1

401/1

7/1

412/1

6/2

013**

01/0

6/1

401/1

0/1

4

Mo

nth

ly HR

staff pap

erwo

rk dead

lines are

based

on

payro

ll pro

cessing d

eadlin

es.

MO

NT

HLY

PA

YR

OLL S

CH

ED

ULE 2

01

3

**

Imp

orta

nt D

ates fo

r 20

14

Mo

nth

ly HR

faculty p

aperw

ork d

eadlin

es are n

ot b

ased so

lely o

n p

ayroll p

rocessin

g dead

lines, an

d allo

w fo

r perio

ds o

f heavy vo

lum

e an

d th

e add

ition

al steps in

volve

d w

ith facu

lty

hire

s. These d

eadlin

es allow

HR

, Payro

ll, and

associated

academ

ic dep

artmen

ts sufficie

nt tim

e to p

rocess facu

lty con

tract paym

ents.

Page 10: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,
Page 11: Human Resources Personal Data Sheet Confidentialdeductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However,