Employee Public Bus Subsidy Application

The University will provide a monthly bus subsidy, based upon the availability of funds, to full-time or part-time University employees (on University payroll), arriving to campus before 11:00 am and use public transit as an alternate mode of transportation to the University at least four (4) or more days per week. The subsidy will be 25% for employees who do not own a parking permit; such employees may obtain up to four (4) Commuter 1-Day Parking Permits in the span of 30 days per month from calstatela.aimsparking.com. For employees owning a parking permit, the monthly subsidy will be 15% per month; for these employees there will be no allocation for parking permits. Pass discounts or daily parking permits cannot be accumulated if the employee failed to pick up their subsidized item on any given month or for not knowing of the existence of this program. Participants separating from campus or on extended leave must notify the Commuter Services Office immediately. 
Please note: All tickets ordered must show Cal State LA as the destination.
NOTE: MONTHLY SUBSIDIZED PASSES ARE AVAILABLE FROM THE 1st THROUGH THE 20th OF THE MONTH. ALL PARTICIPANTS IN A PAYROLL DEDUCTION PROGRAM MUST PURCHASE FIRST MONTH’S PASS PAYMENT IN ADVANCE.

Employee's last name
Employee's first name
Employee's middle name
Enter your 9 digit Employee ID Number
Employee's home address
City
Zip code
Best number to contact the employee
Employee's department
Location or building where the employee works
Employee's mail code
Employee's work phone extension
Approximately how many miles is your commute to work?
Do You Own A Permit?

Does the employee own a valid parking permit?
Senior/Person with a Disability pass?

Do you require a Senior/Person with a Disability pass?

What bus line(s) do you currently ride or will be riding to arrive campus? (i.e #65, #71, #483 etc). Enter the bus line(s) you currently ride or will be riding to arrive to campus below.

List Metro line(s) do you currently ride or will be riding to arrive to campus (i.e #65, #71, #483 etc)
List the Foothill Transit line(s) you currently ride or will be riding to arrive to campus (i.e #65, #71, #483 etc)

What are the typical work hours? (i.e. MON 8-5, TUE 9-5, WED 9-12, etc. please specify) Saturday and Sunday work hours do not qualify. List the employee's typical work hours next to each day below Saturday and Sunday work hours do not qualify.

Work Hours
List the typical work hours, start and end for Mondays
Work Hours
List the typical work hours, start and end for Tuesdays
Work Hours
List the typical work hours, start and end for Wednesdays
Work Hours
List the typical work hours, start and end for Thursdays
Work Hours
List the typical work hours, start and end for Fridays
Would You Like To Participate In Payroll Deduction for A Transit Pass?
Commuter Services offers payroll deduction for qualifying employees. Check YES to request monthly payments to be deducted from your pay warrant, or NO to pay monthly.

Please read terms of payroll deduction and and check box to authorize monthly deduction.  

1. Eligibility for Pre-Tax Transportation Deduction Plan applies only to full-time University staff and tenured faculty with an appointment through the academic year or longer.

Payroll Deduction Statement 2

2. Payroll deduction for train/bus pass is identified as Transportation on your earnings statement and withheld once each month.

Payroll Deduction Statement 3

3. After approval, commuter services will notify you through email. Your first deduction will be the following month. You may receive up to 4 daily parking permits in the span of 30 days after you purchase your first month of transportation pass and register your vehicle in the parking portal.

Payroll Deduction Statement 4

4. Deduction for transportation pass is taken before federal, state, social security, and medical taxes are calculated.

Payroll Deduction Statement 5

5. It is the responsibility of the employee to inform the Transportation Office of cancellation or changes to this deduction. This would include changes in your department, bargaining unit, leave of absences, etc.

Payroll Deduction Statement 6

6. Payroll deduction will cease once the participant completes the Payroll Deduction Update Form at www.calstatela.edu/parking/parking-transportation-payroll-deduction-update-form. The deductions will cease once the deletion notice is submitted to the payroll office.

7. Transit passes obtained through payroll deduction are for the personal commute of the participant only. Sharing, selling, or transferring passes is prohibited and may result in disciplinary action or loss of program eligibility.

I have read and agree

 I have read, understand, and agree to each of the above statements.

Please check that you have read, understand, and agree to each of the above statements.

Authorize

 I hereby authorize the State Controller's Office to deduct from my salaries and wages the amount specified for parking fees at California State University, Los Angeles. I understand that future parking fees are subject to change as approved by the University President. This authorization will remain in effect until my separation from the University, cancellation initiated by me or by California State University, Los Angeles.

Check the box to authorize deduction

I certify that the subsidy I receive will be used by me to help reduce my out-of-pocket cost of a monthly bus pass. I understand that my eligibility is based upon my arrival on campus before 11:00 am and that I will immediately notify the Parking and Transportation Service Center if I am no longer eligible to participate in this program. I also certify that i will not transfer, loan or sell this item to anyone, including other campus employees. I understand that all information provided above is subject to verification and I am aware that falsification of this information will be caused for disciplinary action, up to and including termination of employment.
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