Note: To view and print the forms in PDF Files, Adobe Acrobat Reader 5.0 or higher is required. It can be downloaded free from Adobe Website
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FORMS and NOTICES
LEAVES/PAYROLL/RETIREMENT/BENEFITS/MISCELLANEOUS
LEAVE FORMS AND NOTICES
- Absence Requests/Notification - prior to planned leave. submit this form to your supervisor
- Classified Leave Request
- Academic Leave Notification
- Management Leave Request
- Absence Reports - to be completed after return from leave
- Classified Bargaining Unit
- Academic Bargaining Unit
- Management
- Associate Faculty
- Catastrophic Leave Request form
- CFRA Notice
- FMLA Information (call ext. 2252 for VVC procedures)
PAYROLL FORMS AND NOTICES
Address/Name/Retirement Change Form (Employee Information Sheet)
Amenities Donation - Your donation provides sympathy cards, get-well cards, and floral arrangements in special circumstances for all employees. Benefits-eligible employees would enroll by electing through the EBenefits system; please log in to donate.
Authorization to Release Paycheck - this form may be downloaded, completed, and delivered, mailed, or faxed to the Payroll & Benefits office (760-951-8506).
Deferred Net Pay form for regular faculty (automatically save part of your 10 pay warrants for disbursement on July 1 and August 1)
Direct Deposit - Electronic Deposit Form (EFT) - electronic deposit of pay warrant
Foundation Donation - Your tax-deductible donation provides opportunities and scholarships to people with dreams right here at Victor Valley College. You may designate your gift to support a specific program or make a gift to the Foundation's Annual Fund to support many programs each year. For more information on this, please call ext. 2523. Benefits-eligible employee would elect this contribution within the EBenefits system; please log in to elect and designate your contribution.
Overtime Form - Classified employees Request for Overtime
Payroll Request for Payment Form - used for stipend-type payments - coaching, special certificated assignments, FKCE, etc.- CONTRACT required
Taxes
- W-4 (Federal Withholding)
- W-5 (Federal Earned Income Credit)
- Annual EITC notice (earned income tax credit)
- DE4 (California Withholding Certificate) - needed only if you would your state status different than your federal W-4
- W-2 Request for Duplicate (online access to most recent and prior year W-2s available through the BESTNET link to the left)
RETIREMENT FORMS AND NOTICES
403(b)(7) Tax Shelter Annuities (TSA) for eligible employees
- TSA Provider List (approved as of January 2009)
- Voluntary Salary Reduction Agreement Form (VSRA) fill it in, print, and mail to the SchoolsFirst Federal Credit Union
457(b) Deferred Compensation Plan - (regular employees and adjunct faculty) - Elite Choice 457(b) Deferred Compensation Plan. Click here (RSG Securities) for information.
Permissive Election Form (Adjunct faculty who are non-members may elect membership anytime)
CalSTRS Address Change
Purchase or Redeposit Service Credit
Other CalSTRS forms
CalPERS Click on Forms and Publications Center to the right of the screen (address/purchase/redeposit service credit, beneficiary form, and more)
BENEFITS FORMS AND NOTICES
Many documents and forms are located within the new EBenefits online enrollment system. Benefits-eligible employees may log in for access.
American Fidelity Medical and Dependent Care Reimbursement Accounts forms
American Fidelity disability claim form
American Fidelity Flex Accounts - other forms and notices
American Fidelity insurance product forms
Creditable Coverage Certificate
WORKERS COMPENSATION (INDUSTRIAL INJURY/ILLNESS) FORMS AND NOTICES
Pre-designated Physician form
MPN notice (Medical Provider Network information)
Note: To view and print the forms in PDF Files, Adobe Acrobat Reader 5.0 or higher is required. It can be downloaded free from Adobe Website .