Employee Forms

Draft MOU 10/1/11- 9/30/12

Current MOU 10/1/10 - 9/30/11

Computer Purchase Program

To Change your withholdings on paycheck:

Federal W- 4 withholdings Change

State DE-4 withholdings Change

Vacation In lieu Sale

Direct Deposit Request

Employee Data Change

Insurance Change

VSP Enrollment Form

Vision Service Plan (Member Reimbursement Form)

VSP Member Card print for your records

Request for Temporary Worker

Educational Incentive Approval

 Open Enrollment 2011

Open Enrollment 2012

Open Enrollment 2013

Hartford 457 Contribution Change

Hartford Withdraw Form

CalPERS (Participant Change Authorization Form)

 

Change name/address

Change amount of contribution

Suspend contributions

Change in Marital Status/Domestic Partner

 

 

CalPERS (Beneficiary Designation Form)

 

New Enrollment / Change of Beneficiary

 

 

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