Most of the forms for Administrative Services can be filled in on-line.   You can print the completed form and save a copy for your files.  Please forward the form to the department indicated.

More forms will be added as soon as available.  If you have any questions or do not see the form you need, please contact Administrative Services at Ext. 5112.

For more information on a particular form, please contact the department indicated.

Form or Link Department
2014 Mileage Claim Form Accounts Payable
2014 Mileage Reimbursement Rate Memo Accounts Payable
2015 California Withholding Allowance Certificate - DE 4 Payroll

2015 Income Tax Changes and Withholding Information - 

effective Jan. 1, 2015

Controller's Office
2015 IRS W-4 Form Employee's Withholding Allowance Certificate   Payroll
2015 Mileage Claim Form Accounts Payable
2015 Mileage Reimbursement Rate Memo Accounts Payable
2015 Purchasing Cut-off Dates
2015-19 Five Year Capital Outlay Plan - Summary (2015-16 First Funding Year) Faciliites
ARRA Attendance Progress Grants Accounting
ARRA/WIA Weekly Attendance & Progress Reports Grants Accounting
Basic Rental Agreement - Contact Administrative Services at 818-240-1000, Ext. 5112. Administrative Services
Benefits, Policies and Handbooks information Human Resources
Bid/Suppliers List (Vendors) Business Services
Bids (Current) Business Services
Blue Shield Change Request form Payroll/Employee Benefits

Blue Shield Enrollment Form 

Payroll/Employee Benefits

Blue Shield Statement of Claim Form

Payroll/Employee Benefits

Business Card Order Form

Purchasing, Business Services
CalPERS 457 Deferred Compensation Plan Payroll

Catastrophic Illness/Injury Donation Form

Catastrophic Illness/Adjunct Pool MOU, expires Dec. 2012 Payroll
Cigna - Beneficiary Designation Form - Basic Life Insurance
Payroll/Employee Benefits
Cigna - Beneficiary Designation Form - Voluntary Accident Insurance     Payroll/Employee Benefits
Cigna - Beneficiary Designation Form - Voluntary Term Life Insurance Payroll/Employee Benefits
Claim for Damages - See Susan Courtey, Interim Director, Business Services for claim form. Business Services
Contractor's Payment Request/Invoice Form Business Services

Delta Dental Information

Payroll/Employee Benefits
Delta Dental Enrollment - Non Voluntary Payroll/Employee Benefits
Demystifying How Faculty Get Paid (Powerpoint) Payroll

Dependent care reimbursement form - take care by WageWorks

(Form takes a while to load.)

Payroll/Employee Benefits
Deposit Request for GCCD District Accountant
Direct Deposit Form - LACOE 2010-2011  Payroll
Direct Deposit Request for take care by WageWorks - log into your account and complete request online. Contact Menchie Braza/Benefits if you have any questions. Payroll/Employee Benefits
Hold Harmless Agreement, revised 9-30-13 Administrative Services
How to Order (and Return) Office Supplies, Equipment and Furniture Purchasing
Instructor's Schedule College Information Operators

iProcurement - Oracle Training Upgrade (Powerpoint)

IRS 1098-T Form  Payroll
IRS W-9 Form - Request for Taxpayer Identification Number and Certification Accounts Payable

Kaiser Acct Change Form - (Benefits)

Payroll/Employee Benefits
Key Orders Faciliites
Liability Insurance Requirement, rev. 2-27-12 Administrative Services
Lifetime Learning or Hope Scholarship tax credits Tuition

Medical reimbursement form - take care by WageWorks

(Form takes a while to load.)

Payroll/Employee Benefits
Membership Request Form Purchasing
Mileage Claim Form - 2015 and Mileage Claim Form - 2014 Accounts Payable
Mileage (Local) Reimbursement Rate Memo, effective January 1, 2015 Accounts Payable
Opt-out of Medical Coverage Form for January - December  Payroll/Employee Benefits
Paper Goods Price List Purchasing
Payment Request Form - See Contractor's Payment Request/Invoice above. Business Services
Payroll Schedules:   Intersession Payroll; Semester Payroll Payroll
Personal Services Agreement Business Services
Purchasing Cut-off Dates Purchasing

Replacement Warrant Form

Report and Request for Leave of Absence Payroll
Request for Appropriation Transfer District Accountant
Request for Budget Revision District Accountant
Request for Duplicating Services Business Services
Request for Instructional Materials Business Services

Request for Transfer of Accumulated Sick Leave

Request for Vehicle Transportation Business Services, Purchasing
Salary Redirection Agreement (SRA) - take care by WageWorks  
SMOKING ON CAMPUS: BP 3570 Smoking Policy, revised 4-15-13; AR 3570 Smoking Policy , revised 3-12-13. Administrative Services

Time Reports:

Certificated - Adjunct - C2


Night Differential

Report of Overtime Services

Travel Request Form - Please contact Purchasing for correct form. Instructions  Purchasing
Volunteer List  (pdf) Business Services
Warehouse Requisition (See Paper Goods Price List above) Purchasing
Weekly Absence Report Payroll



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Last updated: 8/19/2015 9:43:23 AM