FOR INSTRUCTIONS TO FILL OUT THIS FORM, SEE BACK SET UP A - ourpromiseca 2026

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Definition and Purpose of the Form

The "FOR INSTRUCTIONS TO FILL OUT THIS FORM, SEE BACK SET UP A - ourpromiseca" is a payroll deduction pledge form designed specifically for California state employees. This form allows employees to initiate, modify, or terminate regular payroll deductions directed towards charitable contributions. The principal goal is to facilitate regular contributions to designated nonprofits, aiding employees in supporting causes they care about efficiently. The form integrates options for designating specific nonprofit organizations, ensuring that contributions align with employee preferences.

Steps to Complete the Form

  1. Locate the Form: Obtain a copy from your HR department or the designated online portal.
  2. Review the Instructions: Examine the back of the form for specific instructions under "SET UP A."
  3. Filling Personal Information: Input your full name, employee ID, and contact information accurately.
  4. Select Your Charitable Contributions: Choose the nonprofits from a provided list, using the Principal Combined Fund Drive (PCFD) codes.
  5. Specify Contribution Amounts: Indicate the deduction amount you wish to contribute per paycheck.
  6. Complete Required Signatures: Ensure all necessary signatures are affixed, including your own and any additional required parties.
  7. Submit the Form: Follow submission instructions, whether online, via mail, or in-person, as specified by your employer.

How to Obtain the Form

State employees can access this form through multiple channels:

  • Human Resources Department: Most state HR departments have a supply of these forms.
  • Official Websites: Some state agencies may offer a downloadable version on their portals.
  • Emails or Notifications: Be attentive to communications from your employer, which may provide digital copies or links.

Who Typically Uses This Form

This form is specifically intended for:

  • California State Employees: Individuals employed by the state wishing to contribute to charitable causes.
  • Retirees: Former employees who wish to continue using payroll deductions for charitable contributions post-retirement.

Important Terms You Should Know

  • Principal Combined Fund Drive (PCFD): The initiative allowing state employees to donate to multiple nonprofits.
  • Deduction Amount: The specified sum deducted from each payroll cycle towards your chosen charities.
  • Acknowledgment Information: Necessary recipient details to ensure correct tracking and acknowledgment of your charitable contributions.

Legal Considerations for Using the Form

Complying with the form's requirements is crucial to ensure donations are processed accurately:

  • ESIGN Compliance: If the form is signed electronically, it must comply with the ESIGN Act, ensuring its legality and enforceability.
  • Authorization: The document must bear the necessary signatures, validating employee consent for deductions.

Key Elements of the Form

  • Employee Information Section: Contains fields to document employee identity and contact information.
  • Contribution Details: Space to designate specific charities, contribution amounts, and frequency.
  • Signature Lines: Required for validating the employee's intent and authorization of deductions.

Examples of Using the Form

Consider a scenario where a state employee wants to support environmental efforts:

  • Example 1: An individual opts to donate a monthly sum to an environmental nonprofit using the PCFD code for the selected organization.
  • Example 2: A retiree modifies their contributions from in-service deductions to continue post-retirement, maintaining support for local animal shelters.

State-Specific Rules and Considerations

While this form caters to California-specific programs:

  • Nondiscrimination Policy: All employees must have equal access to participate in these programs, regardless of their job role or seniority.
  • Retirement Contributions: Ensure understanding of how these payroll deductions interact with retirement benefits and tax implications.

Digital vs. Paper Version

  • Digital Advantages: Easy access, faster submission, and immediate confirmation.
  • Paper Version: Preferred by some for tangible record-keeping or if digital submission options are unavailable due to limited access to technology.

Embarking on charitable contributions via this form streamlines state employees' efforts to make a positive impact. It offers an organized and efficient method for supporting nonprofits, all while enhancing the charitable involvement culture among state employees.

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Launched in November 2016, the Our Promise strategy represents our firm promise to the worlds most vulnerable children: We will continue to transform lives in the worlds hardest-to-docHub places, empowering every girl and boy to docHub their God-given potential.
The Our Promise Campaign is an annual United Way campaign that allows state employees across California to support charitable causes they are passionate about through the convenience of payroll deductions. Since 1957, the Our Promise campaign has been the largest workplace giving initiative in California.
To document employee discipline, include the employees name, the date of the write-up, clear reasons for the disciplinary action, the number of times the employee has been written up, details about the problem including evidence, and a deadline for corrective action. Then, have the employee sign and date the document.
Important aspects of the Promise are waived tuition for the first two years of college, priority enrollment, additional financial support, and a dedicated support team providing a wide array of academic and student support services.

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