: It’s not just a form. It’s your residency story, signed under penalty of perjury. Make it a good one.
: Every few years, UC cross-references these statements with payroll addresses and travel reimbursements. A mismatch—say, claiming Oregon residency but flying back to Irvine every week on UC’s dime—raises red flags faster than a lab fire alarm.
And for the savvy planner? This form is your legal shield. Filing it correctly when you actually move to another state (with intent to stay) can save you from years of double taxation headaches. Filing it carelessly? That’s how former UC employees have triggered audits, penalties, and awkward letters from the Franchise Tax Board.
At first glance, the for the University of California Retirement (UCR) program looks like a routine administrative form: name, address, signature. Dull, right? But beneath that bland exterior lies one of the most consequential decisions you’ll make as a UC employee or retiree.
