Human Resources Forms

Address Changes and Emergency Contact

• Change of Address

• Emergency Card

Direct Deposit and Tax Forms

• W-4 Federal Tax Withholding

• DE-4 State Tax Withholding

• Direct Deposit Authorization (New Account)

• Continue/Reinstate Direct Deposit (Existing Account)

Beneficiary Designation Forms

• CalPERS Pre-Retirement Lump Sum Beneficiary Designation

• CalSTRS Recipient Designation

• Life Insurance Beneficiary Designation

• Warrant Recipient Designation

Benefits Forms

• 403(b) & 457(b) Forms

• FSA Section 125

• Voluntary Deduction Cancellation

Complaint/Concerns Forms

• Complaint and Grievance Forms

Faculty Group Advancement Course Approval Forms

• Full-time Faculty Group Advancement Course Approval

•  Part-time Faculty Group Advancement Course Approval

Professional Development Forms

Classified Employees (CSEA)

• Classified Staff Tuition Waiver Program for SMC Materials and Course Work

• Classified Staff Professional Growth/Education Tuition Reimbursement

Faculty (SMCFA)

• Faculty Professional Development Conference Funding

Police Officers (POA)

• Police Officers Association Waiver Program for SMC Course Material and Course Work

Resignation/Retirement Forms

Academic Administrators, Faculty and Project Managers

• Resignation/Retirement (Academic)

Classified Employees, Classified Managers, Confidential Employees, and Police Officers

• Resignation/Retirement (Non-Academic)

Complete and return original form(s) to the Office of Human Resources.

For additional information or if you have questions, please contact the Office of Human Resources:
Phone: 310-434-4415