Form Uc-Bp-5 - Employment Status Report Page 2

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A9.800
Page 2
termination SF-5B, UH Form 25, memo of termination
or change in account to be charged. The Payroll
Office will complete items 2 of Part II and send
the original copy to the State Department of Labor
and Industrial Relations and will retain the
yellow copy.
2)
For casual payroll personnel all of the items in
Part II must be completed by the employing
department.
Both copies (white and yellow) must
be sent to the Payroll Office which will retain
the yellow copy and forward the white to the State
Department of Labor and Industrial Relations.
Note:
It is permissible to complete the entire form at
the time of hire in the case of casuals when the
starting and ending dates and the wages to be paid
are known.
Both copies must be forwarded with the
UH Form 6.
c.
Overloads.
Do not initiate an Employment Status Report
form for overloads.
d.
Cooperating Teachers.
Do not initiate an Employment
Status Report form for the appointment or termination
of Cooperating Teachers who are Department of Education
employees.
5.
Alternate Forms.
If a program head expects to hire or
terminate five (5) or more employees at the same time, the
Form UC-BP-5 (a) for new hires, and Form UC-BP-5 (b) may be
used but only when the separations are due to lack of work
and were paid from the same account codes (see Attachment 2
and 3).
See Attachment 4 for instructions of Form UC-BP-5.
6.
The new forms prescribed in this instruction replace the
Wage and Separation Report Form UC-BP-4.
7.
Failure to comply with the requirements for reporting new
hires and terminations will result in the assessment of a
ten dollar ($10) penalty as provided in Section 383-94 HRS.
8.
Supply of Forms.
Forms may be obtained from the University
Personnel Office or from an Unemployment Insurance Division
Office.
Addresses and phone numbers are indicated on the
forms attached.

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