** This form is restricted to the School of Humanities and Sciences **

Upon approval of a fully remote agreement by H&S, the payroll tax state of out of state employees must be updated. Please submit this form to confirm the employee's out of state location and date they will start the out of state employment.

If an employee is returning to CA based employment and previously had an approved out of state agreement on file, please complete this form to provide the return date to California.

Additional information regarding out of state employment:

• Stanford University employees who work outside the state of California are subject to all employment-related laws of the state in which they work. Payroll must be informed in advance of potential work arrangements outside of California.
• Further policy information is available in Administrative Guide Policy 2.2.2. If the employee is based out of state but returns to California to perform any work, these days must be tracked. Payroll must also be notified when employees return to regular employment in the State of California.
• For out of state employment agreements, departments will be charged a $500 start-up fee, plus a $200 administrative fee at the beginning of each fiscal year for which the employee remains employed outside of California.
• Stanford University currently maintains employment registrations in 50 states, plus the District of Columbia.
• This form replaces the prior approval form in PDF. All out of state employees must have a remote work agreement on file.
• If this request is for an undergraduate or graduate student, please attach approval from GUS that the student has been approved to attend classes/perform their work remotely in Academic Year 2021/2022.

This form should be completed by the Department or Program administrator, and not by employees.