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Payroll Forms

Forms requiring your signature need to be mailed to the address below:

Payroll & Benefits Department
123 S. Montebello Blvd.
Montebello, CA 90640


Forms for all Employees:
• Accumulated Sick Leave Balance Request Form 
• Direct Deposit Form  
 State Withholding Form
• W4 Form

Forms for Certificate Employees:
• Request to Donate Sick Leave 
Request to Sell Back Sick Leave
• Request to Sell Back Vacation (Management Only)

Forms for Classified Employees:
• Change of Name, Address, Phone, Emergency Contact 
• Request to Donate Sick Leave 
Request to Sell Back Vacation (Classified Managers, Supervisory & Confidential Employees)
Request to Sell Back Vacation Days (CSEA 12M)