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CA STD 457 2021 free printable template

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CSU STUDENT PAYROLL ACTION REQUEST STATE OF CALIFORNIA — STATE CONTROLLER\'S OFFICE STD 457 (Rev. 12/2021) OFFICE USE ONLY A 01 AGENCY 02 UNIT 03 CLASS 04 SERIAL CHECK ALL APPROPRIATE BOXES AND
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How to fill out CA STD 457

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How to fill out CA STD 457

01
Obtain a CA STD 457 form from the appropriate state agency.
02
Begin by filling out the 'Employee Information' section, including your name, job title, and agency.
03
Provide details regarding your salary and any other compensations in the 'Salary Information' section.
04
Complete the 'Benefits Chapter' section by listing all applicable benefits.
05
If applicable, fill in the 'Additional Income' section with details of any other income you receive.
06
Review the 'Employer Information' section to ensure it is filled out correctly by your employer.
07
Sign and date the form at the bottom.
08
Submit the completed form to your HR department or applicable state agency as directed.

Who needs CA STD 457?

01
Individuals who are state employees or local government employees in California.
02
Employees applying for retirement benefits or participating in the state's retirement plans.
03
Anyone who is required to report income, benefits, or compensation as part of their employment in California.
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CA STD 457 is a form used by California state agencies for reporting the personal income of employees and certain independent contractors to the California State Controller's Office.
All California state agencies and departments that have employees subject to the state's payroll system must file CA STD 457 to report compensation data.
To fill out CA STD 457, agencies must complete the form with details such as the employee's name, identification number, job title, total compensation, and other relevant information as specified in the form instructions.
The purpose of CA STD 457 is to ensure transparency and accountability by collecting and reporting comprehensive compensation data for public employees in California.
The information that must be reported on CA STD 457 includes the employee's name, social security number, agency information, salary, bonuses, and any other forms of compensation or benefits provided.
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