Payroll Forms

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Form Number
Title
PDF
FS 71-1 Request for Shift Differential, Overbase, Callback and/or Overtime Pay for Monthly Paid Employees Print
FS 73-01 Name and Address Change Fill
FS 73-06 Sick Leave Transfer FROM FCPS Fill
FS 73-07 Sick Leave Transfer TO FCPS Fill
FS 73-12 Direct Deposit Authorization Agreement Print
FS 73-13 Summer Fund Withholding Authorization Agreement Fill
FS 73-25 Time Report for Transportation Route Supervisor, Maintenance, Custodian and Food & Nutrition Services Print
FS 73-26 Time Report for Substitute Food & Nutrition Services Employees Print
FS 73-39 Time Report for Substitute Teacher, Assistant (IA & PHA) & PHTA Print
FS 73-42 Time Report for Temporary Assignments Print
FS 73-43 Leave Request for Monthly Paid Employee Print
FS 73-54 Request for Stop Payment of Payroll Check Fill
FS 73-63 Time/Attendance Correction/Omission Memoranda Fill
FS 73-66 Request Reissue of W-2 Fill
D-4 District of Columbia Employee Withholding Allowance Print
MW 507 Maryland Employee Withholding Allowance
Fill
VA-4 Virginia Employee Withholding Allowance
Print
WV/IT-104 West Virginia Employee Withholding Allowance
Print
W-4 Federal Employee Withholding Allowance
Fill
W-5 Earned Income Credit Advance Fill

Other Employee Forms


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Last update: December 20, 2007
Curator: Cindy Wofford, Cindy.Wofford@fcps.edu