Benefits and Forms

• Employee Assistance Plan (EAP) Info Flyer
• MD LIVE Flyer
• SISC Expert Medical Opinions Flyer
• SISC Value Added Services
• Kaiser Mobile App Guide
• Kaiser On-line Website Flyer
• Kaiser Chiropractic and Acupuncture Benefits
• Blue Shield Costco Generic Medications Flyer
• Blue Shield Diabetes Prevention Flyer
• Blue Shield Find a Provider Flyer
• SISC Employee Resources

• Unit Petition Form

Change of Information Form

• Change of Information Form* This form must be returned in person to HR Dept.

State and Federal Tax Forms: 

• W-4 Federal Tax Form 2025* This form must be returned in person to Payroll Dept.
• State Tax Form DE-4 *This form must be returned in person to Payroll Dept. 

Direct Deposit Form:

• Direct Deposit Form*This form must be returned in person to Payroll Dept.

• American Fidelity
• 403b & Tax Sheltered Plans
• Classified Group Disability Benefits
• Classified Group Disability Letter

Employee Self Service Website Link(opens in new window/tab)

The Family and Medical Leave Act of 1993 and California Family Rights Act of 1992 provides eligible employees with rights to a specified amount of unpaid Family and Medical Care Leave. Please contact Human Resources for information.

DFEH Notice FMLA & Pregnancy Disability