Commuter Benefits Program Account Information and Resources 


UCSF Pretax Transit, Parking and Van Pool Enrollment

Public Transit -- Off Campus Parking -- Outside Vanpool Providers



Enrollment /Change Action: 

Enrollment Type

General
Employer
Payment Information


PRE-TAX - My Monthly Election Amount

Post-Tax - My Monthly Election Amount  - Tell me more...




PRETAX PROGRAM POLICIES:

When you first enroll in the pretax program, it may take 1 to 2 payroll cycles for your payroll deductions to start. The exact start date depends on the timing of your next pay schedule and your enrollment date. We will try to start your pretax payroll deduction as soon as possible.

You will be receiving a pretax Transportation benefits card (which should arrive in a plain white envelope in about 5-12 business days), after you submit this enrollment form or via ucsf.mypretax.com . The benefit debit card allows you to pay for your transit, vanpool, or non-UCSF parking expenses with the pretax dollars deducted from your paycheck. As an alternative to using this card you may request reimbursement of your pretax Parking funds through ucsf.mypretax.com by selecting the Employee/Participant portal. You will need to log into your participant portal to file claims for pretax Parking under the reimbursement request section. However, when you are enrolled to pretax Transit and pretax non-UCSF vanpool, to pay for expenses under these programs, you will use your Transportation benefit card. Please allow 1 business day for your enrollment to be processed before creating your online account.

As long as your pretax account remains active, your balance will roll over month-to-month. For your account to remain active, you must use your pretax debit card or request reimbursement from HRSimplified at least once every 180 days. If your account remains inactive for more than 180 consecutive days, your balance will be inaccessible and refunds will not be granted for unused portions of your pretax deductions. If you terminate employment with UCSF, you must use your remaining pretax balance within 90 days of your termination date; any unused pretax funds will be inaccessible after 90 days from termination.

   I understand that this authorization replaces any previous authorization and will remain in full force and effect until HR Simplified, Inc. has received written notification from me of its termination in such time and in such manner as to afford the HR Simplified, Inc. and the DEPOSITORY a reasonable opportunity to act on it.



PRIVACY NOTIFICATION
The State of California Information Practices Act of 1977 (effective July 1, 1978) requires the University to provide the following information to individuals who are asked to supply information about themselves. The principal purpose for requesting the information on this form is for administrative record keeping and for purposes of payment. Furnishing all information requested on this form is mandatory --failure to provide such information may delay your Pretax Transit Pass enrollment. Information furnished on this form may be used by the University payroll office for payroll deduction purposes. Individuals have the right to review their own records in accordance with University personnel policy and collective bargaining agreements. Information on applicable policies and agreements can be obtained from campus or Office of the President Staff and Academic Personnel Offices. The official department responsible for maintaining the information contained on this form is Transportation Services. (PTS vers.3.02)

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