Dual Employment Request Form

State law provides that no State employee shall be compensated for services rendered to more than one State agency during a bi-weekly pay period unless the appointing authority of each agency certifies that the duties performed are outside the responsibility of the agency of principal employment and that no conflict of interest exists between the services being performed. The hours worked at each agency are to be documented and reviewed to preclude duplicate payment. If a contractor is a State employee, a contract cannot be processed without a completed Dual Employment Request Form . For purposes of this regulation, each CSUS university is considered a separate State agency. (Note, however, that ten-month instructional faculty need not complete a Dual Employment Request Form for employment through a PSA during the intersession and summer session.) The form, including a copy of the PSA and related documentation, must be forwarded to the "Primary Agency" (i.e., the agency of principal employment for the contractor) for its review and approval. The original Dual Employment Request Form must be returned to the Finance and Administration (or Fiscal Affairs) Department along with the original PSA and supporting information. In addition, contracts for services to be rendered by state employees must be reviewed and approved by the Human Resources Department prior to the commencement of services.