Form Uc-Bp-5 - Employment Status Report

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Prepared by the Personnel Management Offfice.
This is a new Administrative Procedure.
July 1982
SEPARATION FROM SERVICE
Page 1
A9.800
UNEMPLOYMENT INSURANCE LAW
1.
Purpose.
To promulgate reporting requirements as prescribed
by Section 383-94 HRS, Records and Reports.
2.
Objective.
To prescribe procedures for reporting new hires
and terminations of employment to the Department of Labor
and Industrial Relations within five (5) working days of the
date of action.
3.
Applicability/Responsibility.
This instruction covers all
personnel who are appointed as compensated employees or
terminated from employment for any reason.
This includes
all faculty, lecturers, APT and casual personnel.
For civil
service employees this form will be required for Employment
Status Report, Form UC-BP-5 (see Attachment 1).
For the
purpose of this regulation, termination means the ending of
temporary employment, resignation, dismissal, non-renewal of
appointment, etc.
4.
Procedures.
a.
New hires or rehires.
The identification, Part I and
the signature sections of the form must be completed
and the original (white) copy forwarded to the
University Personnel Office with the SF-5B or UH Form 6
(PERS). The UC-BP-5 Form will not be required for civil
service appointments.
The University Personnel Office
will send the form to the State Department of Labor and
Industrial Relations.
The second (or yellow) copy is
to be retained by the hiring unit.
In the term
"Employer's Unemployment Insurance Account No." of the
Identification section, insert the Transaction (TR),
Fund (F), Year (YR), Appropriation (APPRN), and
Department (D) symbols of the account code from which
the employee is paid.
b.
Terminations and changes in accounts to be charged.
1)
For regular payroll personnel the identification
section, items 1, 3 and 4 of Part II and the
signature section must be completed and both
copies (white and yellow) forwarded with the

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