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SECTION 14:PAY DIFFERENTIALS DIFFERENTIAL 412 RECRUITMENT AND RETENTION DIFFERENTIAL PAY MULTIPLE DEPARTMENTS WITHIN CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY Established: 07/01/15 CLASS TITLE Rank
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How to fill out pay differential 412:

01
Obtain a copy of pay differential 412 form from your employer or the relevant human resources department.
02
Provide your personal information, including your full name, employee identification number, and contact details in the designated fields on the form.
03
Specify the duration or time period to which the pay differential applies. This could include specific dates or a timeframe such as a month or a year.
04
Indicate the reason for the pay differential. This could be due to working during designated holidays, a shift differential, or any other additional compensation that you are entitled to receive.
05
Calculate the correct amount of pay differential by referring to any relevant guidelines, policies, or collective bargaining agreements. Ensure accuracy in your calculations by using the correct rates or percentages.
06
Complete any additional information or documentation required by your employer or organization. This may include providing shift schedules, timecards, or any other supporting evidence.
07
Review the completed pay differential 412 form for accuracy and completeness. Make sure all information is clear, legible, and properly filled out.
08
Sign and date the form, certifying that the information provided is accurate to the best of your knowledge.
09
Submit the filled-out pay differential 412 form to the appropriate department or individual within your organization responsible for processing such requests.

Who needs pay differential 412?

Pay differential 412 may be required for employees who are eligible for additional compensation beyond their regular wages. This could include individuals who work during holidays, those who work specific shifts, or employees who perform certain types of specialized work that necessitate extra pay. Additionally, organizations or employers who have established pay differential policies or collective bargaining agreements may require the use of pay differential 412 forms to ensure accurate and documented compensation for eligible employees.
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