Form Upay 544 3 – Fill Out and Use This PDF

The UPAY 544-3 Form is a comprehensive document used for recording personal data for employment, data changes, or terminations within an organization. It covers a wide range of information, including employee identification, contact details, emergency contacts, academic background, employment history, and more. For those needing to submit or update their personal information, clicking the button below will guide you through the process of filling out the form efficiently.

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Form Upay 544 3 PDF Details

In the realm of professional and academic environments, managing personal data with precision is paramount, especially when it pertains to employment or data updates. The Upay 544-3 form, a document fundamentally designed for individuals affiliated with academic institutions, exemplifies this concept. By facilitating different actions such as employment, data change, or staff termination, the form serves as a structured method for capturing essential personal data. Individuals are required to fill in comprehensive details ranging from their employment identification number to their academic status, and even their prior employment outside the university system. What makes the Upay 544-3 form particularly noteworthy is its dual purpose; it not only gathers information for institutional records but also aids in the alignment of employment or academic standing with the respective administrative requirements. Additionally, it addresses the privacy concerns of individuals, offering options to restrict the disclosure of certain information. With sections devoted to emergency data, student status, education, personal and citizenship information, and languages spoken, the form is a thorough document ensuring that personal data is accurately recorded for future reference. The inclusion of prior or concurrent employment within the university or state highlights the form’s role in understanding potential conflicts of interest or other employment-related considerations. Furthermore, with its attention to details like visa status and expiration, it also navigates through the complexities of employing individuals from diverse nationalities, making the Upay 544-3 form a critical tool in the administrative processes of academic institutions.

Question	Answer
Form Name	Form Upay 544 3
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	personal_data_f orm uc davis pps personal data form

Form Preview Example

PERSONAL DATA FORM

UPAY 544-3 (R-7/87)

TYPE OF ACTION (check appropriate box)

EMPLOYMENT complete all information

DATA CHANGE complete information to be changed (if name or address, complete Box 1).

EMPLOYEE I.D. NO.	DATE
	MO	DY
	MO	DY
CAMPUS	APPOINTMENT
DAVIS	ACAD.	MGMT.
	ACAD.	MGMT.


HOME DEPARTMENT NAME

STAFF

TERMINATION complete permanent address

Check Box		EMPLOYEE NAME (LAST, FIRST, MIDDLE INITIAL)
If Name	P1
Change	(1-2)

SUFFIX

WORK DEPARTMENT (if different from above)

PRIOR NAME

A. ADDRESS INFORMATION

		PERMANENT ADDRESS
P2	LINE 1
(1-2)

P3	LINE 2
(1-2)

	CITY			STATE	ZIP CODE	FOREIGN
P4
(1-2)
	HOME PHONE		SPOUSE’S NAME

P5
(1-2)

B. EMERGENCY DATA

Your name as you wish it to appear on your ID badge

CAMPUS PHONE 1					CAMPUS PHONE 2

		DISCLOSURE OF INFORMATION (See Reverse)
UC DIRECTORY			Check box for		EMPLOYEE ORGANIZATIONS
			information you DO
			NOT want listed
					DO YOU WANT YOUR
PERMANENT	HOME PHONE			SPOUSE’S	HOME ADDRESS	YES	NO
					HOME ADDRESS
					RELEASED TO
ADDRESS		NUMBER		NAME	RELEASED TO
1		1		1	EMPLOYEE		1
1		1		1	ORGANIZATIONS?		1

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
PA	NAME
(1-2)

PB	STREET ADDRESS
(1-2)

PC	CITY	STATE	ZIP CODE
(1-2)

RELATIONSHIP

PHONE 1

PHONE 2

C. STUDENT STATUS

UC STUDENT STATUS

Not Reg.	Deg. Cand.	Undergrad	Grad
	Not Reg.
1	2	3	4

Units this

Qtr.

D. EDUCATION

MARK HIGHEST DEGREE ONLY									YEAR AWARDED

No. Acad.	H.S. or	Trade Cert.	Assoc.	Bach.	Mast.	Prof.		Doct.
Cert.	Equiv.
N	H	T	A	B	M	P		D
UNIVERSITY ATTENDED & LOCATION							FIELD OF STUDY

E.PERSONAL INFORMATION AND CITIZENSHIP STATUS

	SEX
	MALE	FEMALE
	MALE	FEMALE
	M	F

U.S. CITIZEN?

YESNO

VISA

STATUS

VISA EXPIRATION			Date entered United
	DATE			States
MO	DY	YR	MO	DY	YR

Intended length of stay

Country of residency

F. PRIOR EMPLOYMENT ( other than UC or State)

EMPLOYER NAME			EMPLOYED
		FROM			TO


	MO		YR	MO		YR

H. PRIOR OR CONCURRENT UC/STATE EMPLOYMENT ( include DOE Labs)

EMPLOYED

FICA

If name different than above – enter below

RETIREMENT

FROM

YES

CAMPUS

DEPARTMENT

SYSTEM

G. RELATIVES EMPLOYED AT UC?

INDICATE: NAME, RELATIONSHIP, &

DEPARTMENT

NO YES

If relative is employed in the same unit, is	YES	NO
approval on file?

I. LANGUAGES – INTERPRETER INFORMATION

FOREIGN LANGUAGES YOU:

SPEAK

READ

WRITE

SPEAK

READ

WRITE

SPEAK

READ

WRITE

SPEAK

READ

WRITE

J. LICENSE

PE		LICENSE (NUMBER)
(1-2)


	ACCOUNTING USE ONLY
PF	Visa Exp	Date of	Country	Work Dept
(1-2)	Date	U.S. Entry	Code	Code


ACCOUNTING USE ONLY
P8	Student	Highest	Year	Sex
(1-2)	Status	Degree	Awarded

EMPLOYEE SIGNATURE

DATE

type

EXPIRATION DATE

code

PERSONNEL

ACADEMIC AFFAIRS

Hire/Rehire

Prior State

Language

Univ Att

Field of

Prio Univ

Type

Service Mos

# 1

Code

Study Code

Empl Code

PERSONNEL

Cit

Visa

Prior Serv

Mos

D001-1 (2/90)RETN: Accounting – 1 year after modification Other Copies – 0-5 years after modification

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Tips on how to prepare Form Upay 544 3 portion 1

2. Once your current task is complete, take the next step – fill out all of these fields - C STUDENT STATUS UC STUDENT STATUS, Units this, MARK HIGHEST DEGREE ONLY, Not Reg, Deg Cand Not Reg, Undergrad, Grad, Qtr, No Acad, Cert, HS or Equiv, Trade Cert, Assoc, Bach, and Mast with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

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Form Upay 544 3 – Fill Out and Use This PDF

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