• Vacation Payout for Non-duty Days

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    Non Duty Days VAC Payout 2016.pdf 215.87 KB (Last Modified on October 26, 2016)
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  • 403b Enrollment/Cancellation/Change Form

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    Enroll, cancel or change the amount of your 403b plan. This form MUST BE in the Payroll Office by the 15th of the month in order to be effective on that month's payroll check.
    Salary Amendment Agreement_403b_Roth_CA_v3.doc_LUSDistrict_1.doc 423.00 KB (Last Modified on April 17, 2012)
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  • Certificated Personnel Absence Report (Pink)

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    Certificated.Absence.interactive.docx 53.80 KB (Last Modified on December 6, 2012)
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  • Classified Personnel Absence Report (Blue)

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    'Fillable' Absence form (Blue).

    Classifield Absence.interactive.docx 49.21 KB (Last Modified on December 6, 2012)
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  • Direct Deposit Enrollment/Cancellation Form

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    - All requests MUST be received in the Payroll office by the 15th of the month prior to effective date.

    - It takes two pay periods for Direct Deposit to begin. 
    - You may distribute your net pay to 3 different banking institutions.
    - A Deposit Format Letter is required in place of a cancelled check for deposits to Coast Hills Credit Union.
    - Return the Direct Deposit application & cancelled check to LUSD Payroll...DO NOT SEND COMPLETED FORMS TO THE COUNTY OFFICE OF EDUCATION.
    Direct Deposit LUSD 2015-06.pdf 137.00 KB (Last Modified on September 11, 2015)
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  • Four Day Work Week Request

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    - This form is used to request a 4 day work week.

    - This request is only valid from June 20, 2016 through July 22, 2016.

    Four Day Work Week Request Form.52016.docx 138.59 KB (Last Modified on May 24, 2016)
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  • Name, Address or Phone Number Change form

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    - Use this form to officially change your name, address, phone or email address.

    - If you change your name, you MUST submit a SIGNED COPY OF YOUR NEW SOCIAL SECURITY CARD.
    - If you have an American Fidelity product, you can find the name change form here.
    LUSD Contact Info Change Request.pdf 222.87 KB (Last Modified on January 10, 2014)
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  • Non Bargaining/Contract Employee Sick Leave Request Form

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    This form should be completed when a request is made to be paid for sick time taken. 

    Absence request form.pdf 81.07 KB (Last Modified on February 29, 2016)
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  • Paystub Email Request

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    Request to have paystub emailed form.

    Paystub by Email.pdf 353.43 KB (Last Modified on April 22, 2016)
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  • Summer Savings - JULY & AUGUST

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    - Summer Savings is a program to assist you with saving for the months when you may not work during the summer.

    - Money is deducted from your net pay  Sep thru Jun, then paid to you in either 2 equal payments in Jul & Aug.

    - Form B to request Summer Savings in July & August 
    Form B July-Aug Summer Savings.pdf 326.18 KB (Last Modified on July 29, 2016)
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  • Summer Savings Election Form-July ONLY

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    - Summer Savings is a program to assist you with saving for the month when you may not work during the summer.

    - Money is deducted from your net pay  Sep thru Jun, then paid to you in either 1 equal payments in July.

    - Use Form A below to request Summer Savings in July ONLY 
     
     
    Form A July ONLY Summer Savings.pdf 326.37 KB (Last Modified on August 11, 2016)
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  • Tax Withholding Federal

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    - Use this form to change the Federal tax withholdings on your paycheck. 

    Tax Federal W-4 2017.pdf 113.41 KB (Last Modified on January 10, 2017)
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  • Tax Withholding State

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    - Use this form to change the State tax withholding on your paycheck. 

    CA EDD DE-4 2017 Employee Witholding.pdf 74.47 KB (Last Modified on February 14, 2017)
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