Payroll Dept
CLASSIFIED STAFF including SUBSTITUTES & HOURLY STAFF
Josie Castellon - Lead Payroll Technician
818-729-4484
CERTIFICATED MONTHLY STAFF Tiffany Maxwell - Payroll Supervisor
818-729-4480
CERTIFICATED SUBSTITUTES & CERTIFICATED HOURLY STAFF
Kayla Hoy - Payroll Technician
818-729-4479
ALL CERTIFICATED, CLASSIFIED & MANAGEMENT STAFF
Tiffany Maxwell - Payroll Supervisor
818-729-4480
W4 Federal Withholding Form (changes must be submitted with a State DE4 form)
De4 State Withholding Form (changes must be submitted with a Federal W4 form)
Direct Deposit Form - Due to a rise in fraudulent direct deposit change requests, all direct deposit forms submitted MUST be verified in person with a picture ID.
CalPERS 457 Enrollment Kit
CalPERS 457 Beneficiary Designation Form
APPLE Plan Information
APPLE Distribution Request Form
APPLE Beneficiary Form
Contact Information for our 403b Third Party Administrator:
Our call center is available Monday through Friday from 4:30 AM to 5:00 PM PST, with bilingual
(Spanish) Customer Service Representatives available to assist during those hours.
1-877-544-0MNI (6664)
www.omni403b.com
Instructions below on how to view information and how to enroll in/make 403b plan changes:
403b / 457 Salary Reduction Instructions