Get Cl 200-012-17 Attachment. Reduced Workload Program Eligibility And Election Certification Form

Completing the CL 200-012-17 Attachment. Reduced Workload Program Eligibility And Election Certification Form online is a straightforward process. This guide will walk you through each section of the form to ensure accurate completion and submission.

Follow the steps to effectively fill out the form.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Enter the employee's name by filling in the last name, first name, and middle initial in the designated fields.
3. Provide the employee's CalPERS ID or Social Security number in the appropriate box.
4. Fill in the business partner's name and their CalPERS ID number.
5. Review and answer the eligibility requirements by marking 'Yes' or 'No' for each question related to the employee's status and qualifications.
6. Specify the effective date for the Reduced Workload Program clearly.
7. Indicate the percentage of full-time hours the employee will work under the Reduced Workload Program.
8. Record the employee's full-time salary in the respective field.
9. Fill in the business partner representative's name and title, along with their signature and the date of signing.
10. The employee must provide their name, signature, and the date to certify their election to participate in the program.
11. Once all fields are complete, save the changes, and choose to download, print, or share the form as needed.

Complete your documents online today for a smooth and efficient submission process.