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The document is a CSU Student Payroll Action Request form used by new employees in California to provide personal information for payroll processing, including social security number, name changes, address updates, and tax withholding details. It includes sections for employee certification, designee information for state warrants, and an oath of allegiance or declaration of permission to work. The form also outlines instructions for completing various sections and the legal implications of the information provided.

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Click ‘Get Form’ to open the CSU Student Payroll Action Request in the editor.
Begin by filling out your personal information in Section A, including your Social Security Number, name, and address. Ensure that all entries are accurate and match your official documents.
In Section G, carefully read the instructions regarding federal and state withholding. Select your marital status and claim any dependents as applicable. This section is crucial for determining your tax withholdings.
Complete Section H by certifying that the information provided is true. Your signature here confirms your understanding of the form's implications.
If applicable, fill out Section J for designating a person for state warrants. Provide their full name, relationship, and address.
Finally, review all sections for accuracy before submitting. Retain a copy of the completed form for your records.

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