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Print Form Clear Form State of California FlexElect Plan Year 20 FlexElect Reimbursement Claim Form DPA 351 Rev. 09/10 Please read requirements on reverse side Last Name First Name MI Please Print Daytime phone number Street Address Social Security Number City State Zip Dependent Care Reimbursement Account day care babysitting etc. Name of Dependent Age Dates Care Provided From To Name Address and Taxpayer Identification Number of Care Provider C...
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What is calhr 351?
CalHR 351 is a form used by state employees in California to report their outside employment and income.
Who is required to file calhr 351?
All state employees in California are required to file CalHR 351 if they engage in outside employment or receive income from sources other than their primary state position.
How to fill out calhr 351?
To fill out CalHR 351, state employees need to provide detailed information about their outside employment, including the name and address of the employer, hours worked, nature of work, and the amount of income earned.
What is the purpose of calhr 351?
The purpose of CalHR 351 is to ensure transparency and prevent conflicts of interest by allowing the state to monitor outside employment and income of its employees.
What information must be reported on calhr 351?
On CalHR 351, state employees must report the name and address of their outside employer, the number of hours worked, the nature of work performed, and the amount of income earned.
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