LAUSD Payroll Forms

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Are you looking for the LAUSD Payroll forms? If you are looking for the forms, you come to the right site because here we will give you the information where you can find the forms. Also, we will give you the other information about LAUSD payroll.

Payroll Forms at LAUSD

You are able to find LAUSD payroll forms on the LAUSD official website exactly on the Payroll Forms page after the Payroll Administration page or you can directly access this link https://achieve.lausd.net/Page/1083.

On this page, there are a number forms that you may need related to payroll at LAUSD including:

  • Certification/Request of Absence for Illness, Family Illness, New Child

This form is used if you request absence for illness, family illness or new child. There are a number of fields that you have to fill out including your last name, first name, work location name, job title, your telephone, reason for absence and some more fields.

  • Certification and/or Request of Absence for Non-Illness

This form is used to request absence for non illness. Here, you have to fill out the fields including your last name, first name, employee number, work location, job title, the reason for absence and some more fields.

  • Families First Coronavirus Response Act (FFCRA) Absence Certification Request Form

This form is used to request absence for families first coronavirus response act. Here you have to fill out your last name, first name, work location name, job title, reason for absence and some more fields.

  • Supplemental Paid Sick Leave (SPSL) Absence Certification Request Form

This form is used to request absence for 2021 covid-19 supplemental paid sick leave act where you have to fill out your last name, first name, job title, work location name, reason for absence and some more fields.

  • Change of Address Form – This form is for changing or updating your home address

This form is used to change address. If you want to change address, you can do that by updating your profile by using Employee Self Service, ESS at https://ess.lausd.net. This form is only used by active employees should ESS is not available. In this form, you have to fill out your EMP number or person ID, first name, date, last name, MI, signature, and home address including number and street, city, state, ZIP and telephone number.

  • Deceased Notice

In this form, you have to fill out the date notified, taken by, name of employee, employee number or social security number, date of demise, school/ office, contact person, telephone number and some more fields.

  • Direct Deposit Form

If you want to activate automatic deposit of your paycheck on each payday, you have to complete this form first and then attack a voided check or a savings account statement. Then, you have to mail to Payroll Administration at 333 South Beaudry Avenue (27th Floor), Los Angeles, CA 90017. In this form, you have to enter your employee number, last name, bank name, branch, bank phone, and some other fields.

  • Lump Sum Vacation Form

If you are previously assigned to an A-basis assignment and/or changed to a non-vacation earning position, you may request in writing payment of your accumulated vacation. If there is no request which is made, a lump sum vacation payment will be made at the end of the school year following the school year in which you ceased to get vacation. To request a lump sum vacation payment, you have to complete this form including your employee number, first name, last name, email address, home or cell number, MI, work number, and assignment change date. The lump sum vacation payment will be processed in the next scheduled major payroll using your normal payment method.

  • Replacement Warrant Request Form – This form is for replacing a lost or missing check

In this form, you have to enter your first name, MI, last name, employee number, address of payee, warrant number, state, ZIP code, issue date, net amount, reason for request, and some more fields.

  • W-2 Inquiry Form – This is a form for faxing any concerns that you may have about your 2020 W-2 Statement

In this form, enter the employee name, employee number, checking the box number in question, reason for inquiry, home address, city and state ZIP, telephone number, email address, signature and date. After the form is completed, then you have to fax it to 866-761-7413.

  • W-2 Duplicate Form – This form is for requesting a duplicate 2020 W-2 Statement

In this form, you have to enter employee name, employee number, document requested, home address, city and state zip, telephone number, email address, signature and date. After you fill in all of the fields, then you have to fax it to 866-761-7413.

  • Warrant Recipient Designation Form

In this form, you have to enter the employee number, employee’s payroll name, social security number, designee’ name in full, relationship, designee’s address, date and signature.

  • Salary Deduction Discontinuance Form

In this form, you have to enter the employee number, last name, first name, MI, deduction or organization name, employee signature and date.

  • Certificated Illness Transfer Form

In this form, you have to enter the LAUSD employee number, employee’s name, employee signature date and some more fields.

  • Classified Illness Transfer Form

This form is almost the same as certified illness transfer form where you have to enter social security number, LAUSD employee number, employee name, employee signature, date and some more fields.

Payroll Administration Page on LAUSD Website

If you access Payroll Administration page on LAUSD website, you will not only able to find payroll forms, but also the other things related to payroll. In the left side of the Payroll Administration page, there are some menus including 2020-2021 Calendars/ Time Cards, 2021-2022 Calendar/ Time Cards, LAUSD MyPay, Payroll Forms, Payroll Information, Resources, W-2/ Tax Information, Time Reporting and Communications, and DPA/ SPA.

For Payroll Customer Services, you are able to contact them via phone at (213) 241-2570 which is available from Monday to Friday at 8 am to 4 pm. For sending fax, you can do that to (866) 761-7413. How about email address for payroll customer services? It is at payrollsupport@lausd.net.

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