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Personal Notification Statement

Read about the Personal Notification Statement for information on forms relating to travel and entertainment expenses.

The State of California Information Practices Act

The State of California Information Practices Act of 1977, effective July 1, 1978, requires the university to provide information to individuals who are asked to supply personal information about themselves on forms relating to disbursements, travel, and entertainment.


The principal purpose for requesting the information on this form is to gather information required to process disbursements, travel and entertainment activity, and to fulfill requests for travel services.


Maintenance of this information is authorized by PPM 480-3, Records Management. Furnishing information requested on this form is mandatory, [and] failure to provide such information will delay or may even prevent completion of the action for which the form is being completed.

Additional information

Information furnished on this form may be used by various university departments for providing travel services and will be transmitted to the State and Federal governments if required by law. Individuals have the right of access to this record as it pertains to themselves. The Disbursements Division, Mail Code 0998, is responsible for maintaining the information contained on this form.

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