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Employee action request - California

STATE OF California STATE CONTROLLER S OFFICE Employee action request STD. 686 (REV 12/2020) **IMPORTANT** Before completing Section E, you must read the instructions on Internal Revenue Service (IRS) Form W-4 and the applicable state tax form. (For California , use Form DE-4)WITHHOLDING CHANGE OR NEW EMPLOYEENOTE: Social Security Number and Last Name, First Name, and Middle Initial must be entered exactly as shown on Social Security claim that the wages I will be receiving from the State are either a 1) MINISTER OF A CHURCH in the exercise of his/her ministry, 2) NONRESIDENT ALIEN wages, or 3) DECEASED Employee WAGES. Indicate reason (See General Information on reverse)III. ADDITIONAL DEDUCTIONS Part I and Part II must be completed. Complete box(es) 11 and/or 12 if you wish additional Federal and/or State tax withheld from your wages.

The Uniform State Payroll System includes all California State Agencies (except as noted below) and the California State Universities. ... IF YOUR NORMAL LOCATION OF EMPLOYMENT IS NOT IN CALIFORNIA and you are a California State employee, ... bargaining organizations.

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files.covid19.ca.gov

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