Online Clearance Request

Use this form to initiate the clearance procedure. The Human Resources Clearance Specialist will begin the clearance process once notification is made. It is advised that you turn in all library books, Audio/Visual Equipment, travel advances and pay cashiers for any lost keys, property, etc. (Please retain any receipts as proof). 

Please bring all SFSU issued keys, ID’s and parking permits to your appointment. If you do not have any of these items to turn in, an in-person appointment with the Clearance Specialist is not necessary.

Otherwise, appointments are made on a first come, first serve basis. If your requested appointment is not available, the Clearance Specialist will contact you to reschedule. All appointments will be confirmed via E-mail or by phone. Please call *54359 for any further questions. We are located in the New Administration Building, Room 252. 

Name

SFSU ID Example: 90006789

Department

Request Clearance Appointment Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2006 2007 2008 2009 2010 2006

Preferred Appointment Time 10:00 AM 10:30 AM 11:00 AM 11:30 AM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM

Daytime Phone/Message #

E-mail address (optional)

How would you like your appointment confirmation made? E-mail Phone

Do you have direct deposit? Yes No

Would you like to request retirement planning information? Yes No

Are you planning on changing addresses? Yes No

If you are unable to use this form please call Human Resources at x81873/54359 or email: hrclear@sfsu.edu

Additional Information

• Public Employees' Retirement System Program Summary web page
• COBRA continuation