Forms

Accounting | Payroll | Purchasing | Risk Management

Accounting
Accounts Payable	Employee Reimbursements	Disbursement Request
	Direct Payment	Disbursement Request
	ACH Payment Request	ACH Authorization Agreement
	Conference Travel	Conference Leave Request Conference Leave Expense Claim 2023 Mileage Rate Use this form for any travel after January 1, 2023 Conference Leave Expense Claim 2024 Mileage Rate Use this fom for any travel after January 1, 2024
	Mileage Table	Standard Mileage Distance to All CLPCCD Sites
	Travel Reimbursement	Travel Expense Claim Form 2023 Mileage Rate Use this form for any travel after January 1, 2023 Travel Expense Claim Form 2024 Mileage Rate Use this form for any travel after January 1, 2024
	Missing Receipt	Missing Receipt
Accounts Receivable	Enrollment Fee Reimbursement	Enrollment Fee Reimbursement
	Invoicing Request	Standard Request for Billing

Payroll

Click here for Current Deadlines
Checks	Check Request	Special Payroll Check Request
	Check Distribution	Salary Warrant Distribution
	Direct Deposit	Direct Deposit Form Direct Deposit Change Form
Timesheets	Professional Experts	Payment Request - Personal Service
	Faculty	Service Report: Academic Non-Instruction Service Report: Part-Time Faculty
	Counselor/Librarian	Part-Time Counselor or Librarian Service Report
	Classified	Monthly Classified Timesheet [instructions] Hourly Classified Timesheet [instructions]
	Overtime/Compensatory	Employee Overtime/Compensatory Form
	Chabot Student	Time Sheet funded by General Fund [instructions] FWS Time Sheet [instructions]
	LPC Student	Student Assistant Time Sheet [instructions]
Absence Requests	Faculty Only	Faculty Absence Report Form
	All Employees	Leave of Absence Request
Transit Plan		EBS Monthly FSA Enrollment Form
Tax Withholdings	Federal	W-4
	State	CA Withholding Allowance Certificate DE-4
Envoy 403b/457b Plans		Envoy 2024 Plan Highlights 403b vs. 457b 403b Salary Reduction Agreement CALPERS Enrollment Kit 457b Salary Reduction Agreement

Purchasing
Procurement		Requisition Change Order
Vendors	New Vendors	Vendor Profile Application Federal W-9
	Professional Service Providers	Drug-Free Workplace Certification Worker's Compensation
	Pre-Approved Public Works Contractors	Annual Pre-Approved Application Non-Collusion Affidavit
	Public Works Approved Contractors	Drug-Free Workplace Certification Worker's Compensation Public Works Contractor's Certification
Independent Contractor: Contract For Services and Additional Forms Required		Requisition Contract For Services Independent Contractor Questionnaire AB-5 Checklist Vendor Profile Application Federal W-9
Fixed Assets & Surplus		Equipment Transfer Surplus Equipment
P-Card		Monthly Purchases Log Missing Receipt

Risk Management
Risk Management	Certificate of Insurance	Request For Certificate of Insurance
Voluntary Activities Participation Form	e.g., field trips	Ackowledgement of Potential Risk