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PDF: Requires Acrobat Reader to view. Please download the PDF file, and submit the completed form to the District Payroll Office.

  • TSA Contract Form (403b and Roth 403b)  

  • Tax sheltered Annuity (TSA) cancellation form request (403b and Roth 403b)

  • 457 Plan in VALIC - Contact Kathleen Fitts Kathleen.Fitts@valic.com 408-981-8179 or Hooman Altafi hooman.altafi@valic.com

  • 457 Plan in EBSG - Contact Employee Benefits Services Group 2542 S. Bascom Ave, Suite 100 Campbell, CA 95008 Telephone: (408) 978-1000 x 135 Cell phone: (408) 396-6988 Fax: (408) 228-8950 Email: dwang@ebenefitsservices.net Email: doris_wang@yahoo.com

  • PARS Refund

  • Faculty Leave Exceptions Form - Go to HR Forms http://hr.fhda.edu/forms

  • Check Stub   

  • Deduction Form   

  • Reissue W 2 request (terminated employees only) 

    Other Links:

    Go to MyPortal.fhda.edu Direct Deposit Authorization Update or New

    Sign up for direct deposit or change your current accounts allocation with ease.
    ---No limit to number of accounts.
    ---You may have check and direct deposit combination.
    ---Change of allocation processed 15 days before pay date will take effect in same paycycle.
    ---No more trips to the bank.
    ---Pay advice emailed to your fhda email address approx 3 working days before pay date
    ---Log-in at myportal.fhda.edu and go to Employee Web Services to access menu.

    Please note: Your direct deposit authorization requires two pay cycles (months) to become active.

    Go to MyPortal.fhda.edu FEDERAL: Form W-4 Update

    STATE: Form DE-4

  • http://www.edd.ca.gov/pdf_pub_ctr/de4.pdf


    Last Updated: Wednesday, May 28, 2014 at 11:39:44 PM
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