General Contact Number: (530) 621-5567


Payroll Division

Tim Moore - Payroll Division (530) 621-5485 Email

Need a Payroll form? Please help yourself!
Print, Fill Out, Sign and return the original to the attention of the Payroll Office at 360 Fair Lane, Placerville, CA 95667 via US Mail or Interoffice mail.
***(Please note: Original forms and signatures are Required)***

Pay Schedule Forms

Pay Periods

PA Schedule 2022

PA Schedule 2021

PA Schedule 2020

Employee Forms

Employee Direct Deposit Authorization
Form W-4 (Federal Withholding)
Form DE-4 (State Withholding)
Vacation Donation - Transfer of Earned Hours          
Special District PA Form     

Deferred Comp Programs

CalPERS/VOYA 457 Deferred Comp - New Enrollment Form
CalPERS/VOYA 457 Deferred Comp - Additional Plan Forms 
NATIONWIDE 457 Deferred Comp Form

NATIONWIDE 457 Deferred Comp Change Form
Per IRS regulations, the earliest a deferral change may be processed is the first pay period in the calendar month following Payroll;s receipt of the document

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