Payroll Forms

  • All forms must be submitted in person to Payroll between 8:00 am -4:30 pm.
  • All transactions handled in Payroll require the employee to show picture ID (driver's license, District ID badge or Passport).
  • When signing up for Electronic Fund Transfer, a pre-printed voided check is required (it has to have YOUR name printed on it). If no check is available, we will need a letter from your bank, printed on the bank's letterhead, stating your name, routing and account numbers to be used for the transfer.
  • Payroll processes verification of employment. Please send requests by fax to (909) 381-1309, ATTN:Payroll. Allow 2-3 days for processing time.

2022 W-4 Form
State Witholding DE4
Electronic Funds Transfer Authorization
Payroll Deduction Cancellation Form
Catastrophic Sick Leave

777 North F Street, San Bernardino, CA 92410 | Phone: (909) 381-1100 | Fax:

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