Personal Services Performed Form/california Form 590 - Withholding Exemption Certificate - 2012

Download a blank fillable Personal Services Performed Form/california Form 590 - Withholding Exemption Certificate - 2012 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Personal Services Performed Form/california Form 590 - Withholding Exemption Certificate - 2012 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

PERSONAL SERVICES PERFORMED
This is to certify that I,
,
(Print Name)
performed
(Type of Service Performed)
for the A.S. Program
.
(A.S. Program/Specific Event)
List Specific Dates and Hours Worked:
I request that I be paid $
, at the rate of $
per hour (game, event, etc.)
for the above services.
The Claimant(s) agrees to indemnify and save harmless the Associated Students, Inc., CSUN, and the Sponsor, its
officers, agents and employees from any and all losses, costs or damages of any nature or description whatsoever,
occurring or resulting to the Claimant(S) in connection with the performance of said Agreement, and from any and all
claims and losses occurring or resulting to any person, firms, or corporation who may be injured or damaged by the
Claimant(s), his representatives, or servants, or employees, in the performance of services under this Agreement.
Approved by:
(Signature of Claimant)
(Person Requesting Payment)
(Street Address)
(Faculty/Staff Advisor)
Check to be:
Mailed
(City, State, and Zip Code)
(
)
Picked Up
(Telephone)
Please allow five (5) days for check
Processing. Checks may be picked up
in the
.
Social Security Number – (I M P O R T A N T)
f:\user\asacctng\group\forms\pscmstr.doc

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

California Form 590 - Withholding Exemption Certificate - 2012 California Form 590 - Withholding Exemption Certificate - 2012 Financial
California Form 590 - Withholding Exemption Certificate - 2012 California Form 590 - Withholding Exemption Certificate - 2012 Financial
California Form 590 - Withholding Exemption Certificate - 2015 California Form 590 - Withholding Exemption Certificate - 2015 Financial
California Form 590 - Withholding Exemption Certificate - 2014 California Form 590 - Withholding Exemption Certificate - 2014 Financial
California Form 590 - Withholding Exemption Certificate - 2009 California Form 590 - Withholding Exemption Certificate - 2009 Financial
California Form 590 - Withholding Exemption Certificate - 2008 California Form 590 - Withholding Exemption Certificate - 2008 Financial
California Form 590 - Withholding Exemption Certificate - 2013 California Form 590 - Withholding Exemption Certificate - 2013 Financial
California Form 590 - Withholding Exemption Certificate California Form 590 - Withholding Exemption Certificate Financial
California Form 590 - Withholding Exemption Certificate - 2014 California Form 590 - Withholding Exemption Certificate - 2014 Financial
California Form 590 - Withholding Exemption Certificate - 2015 California Form 590 - Withholding Exemption Certificate - 2015 Financial

Related Categories

Parent category: Financial
Download
Go
Page of 4