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This document allows employees of California State University, Channel Islands to pre-designate their personal physician for the treatment of work-related injuries or illnesses as permitted by California Labor Code Section 4600. It outlines the criteria for pre-designation and includes sections for both employee and physician to complete.
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How to fill out employee pre-designation of personal

How to fill out employee pre-designation of personal
01
Obtain the employee pre-designation form from your HR department.
02
Fill out the employee’s personal details such as name, address, and contact information.
03
Include the employee's designation and department.
04
Specify the effective date of the pre-designation.
05
Ensure all necessary signatures are included, such as the employee's and the supervisor's.
06
Submit the completed form to HR for processing.
Who needs employee pre-designation of personal?
01
Any new hires looking to formalize their employment status.
02
Existing employees who are changing positions within the company.
03
Human Resources personnel responsible for maintaining accurate employee records.
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What is employee pre-designation of personal?
Employee pre-designation of personal refers to the process by which an employee designates personal information such as preferred name, emergency contacts, and other personal details that may be required by employers.
Who is required to file employee pre-designation of personal?
Typically, all employees working in an organization are required to file employee pre-designation of personal for the employer's records and to maintain accurate personnel files.
How to fill out employee pre-designation of personal?
To fill out the employee pre-designation of personal, an employee needs to complete a designated form provided by the employer, ensuring that all required fields are accurately filled in with their personal information.
What is the purpose of employee pre-designation of personal?
The purpose of employee pre-designation of personal is to collect and maintain up-to-date personal information of employees, which is essential for communication, emergencies, and organizational management.
What information must be reported on employee pre-designation of personal?
The information that must be reported generally includes the employee's full name, contact information, emergency contacts, preferred name, and any other personal details specified by the employer.
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