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A
Auto Insurance Re-Application Form (Submit to Human Resources)

C
Continuing Education Expense Form Pastors (Submit to Ministerial)
Continuing Education Request Form Pastors (Submit to Ministerial)

D
DE-4 Form Request for different withholdings from the federal tax withholdings (Submit to Human Resources) 
Direct Deposit Authorization Agreement (Submit to Human Resources) 
Doctors Degree Expense Form Pastors (Submit to Ministerial)
Duplicate Housing Request (Submit to Payroll)

E
Educator Monthly Report 2015 2016 2017 Monthly report for salaried 12-month educators and salaried ECEC directors (Submit to Payroll)
Emeritus Credential Application For retired ordained pastors who want an emeritus credential (Submit to Executive Secretary)
Employee Data Collection Sheet (Submit to Human Resources) 
Employee Service Record Information Retirement Plan Records (Submit to Human Resources)

F

G
Group Travel Authorization Request For all travel not covered by the monthly travel allowance. Need Administrative Council approval before any travel arrangements are made. For reimbursement, a copy of the approved request must be attached to the Monthly Report. (Submit to Executive Secretary)

H
HCAP Certification Form (Submit to Human Resources) 
HCAP Claim Reimbursement Form (Submit to HCAP, Address on Form) 
HCAP Out-Of-Network Reimbursement Form (Submit to HCAP, Address on Form)
HCAP Change Request Form (Submit to Human Resources) 
HCAP Enrollment Form (Submit to Human Resources)

I
I-9 Employment Eligibility (Submit to Human Resources)

K
Kaiser and VSP Enrollment Form (Submit to Human Resources)

L
Live Scan Form Sample For reference for filling out the Live Scan Form below
Live Scan Form (on California Department of Justice website) (Submit to Education)

M
Masters Degree Expense Form Pastors (Submit to Ministerial)
Masters or Doctors Degree Request Form Pastors (Submit to Ministerial)
Ministerial Parsonage Report See "Parsonage Report".
Mission Trip Application Form (Submit to the Risk Management Dept. at least 4 months before a scheduled trip, or as soon as you are aware of a need to travel outside of the Conference)
Moving Benefits Form Full-time Contracted School Employees (Submit to Education)
Moving Expense Form 2017 Full-time Contracted School Employees. (Submit to Payroll)

P
Paid Leave Transfer Contracted School Employees (Submit to Education)
Parsonage Report and Parsonage Report Worksheet (Submit to Payroll)
Pastor Monthly Report 2017   or Pastor Monthly Report 2017 (Excel 97-2003) Visit the Treasury Department's section of this website for more information on expenses, mileage and per diem. (Submit to Payroll)
Pastor Travel Request Processed through Administrative Council. Needed to create a record of authorized trips for Workman’s Compensation Insurance coverage. For emergency travel, contact a conference administrator. (Submit to the Executive Secretary at least 6 weeks before a scheduled trip, or as soon as you are aware of a need to travel outside of the Conference)
Payroll Advance Agreement (Submit to Payroll)
Payroll Schedule 2017
Personnel Records Request (Submit to Human Resources) 
Principal Enrollment Form (Submit to Human Resources) 

S
Salary Reduction Agreement Form (Submit to Human Resources)
Social Security Card Copy Form (Submit to Human Resources)

T
TimeForce - Electronic timekeeping website for hourly time and attendence.
Time Sheets - Child Development Center 2017 (Submit to Payroll)
Time Sheets - Church Hourly 2017 (Submit to Payroll)
Time Sheets - Church Multiple 2017 (Submit to Payroll) Allows a time sheet tab for each employee within one document.
Time Sheets - FACS 2017 (Submit to Payroll)
Time Sheets - Miscellaneous 2017 (Submit to Payroll)
Time Sheets - School Hourly 2017 (Submit to Payroll)
Time Sheets - School Multiple 2017 (Submit to Payroll) Allows a time sheet tab for each employee within one document.
Time Sheets - School Salary 2017 (Submit to Payroll)
Time Sheets - Substitute Teacher Hourly 2017 (Submit to Payroll)
Travel Authorization Request Form For all travel not covered by the monthly travel allowance. Need Administrative Council approval before any travel arrangements are made. For reimbursement, a copy of the approved request must be attached to the monthly report. (Submit to the  Executive Secretary)
Travel / Expense Voucher 2017 Teachers (Submit to Education with original receipts)
Tuition Authorization Form (on Pacific Union Conference website) Contracted School Employees (Submit to Education)

V
Vacation Request Form Pastors (Submit to Human Resources)
Volunteer Service Agreement (Submit to Human Resources)
Volunteer Service Expense Report Form (Submit to Payroll)

W
W-4 Form (2017) Tax withholding exemptions (Submit to Human Resources)
If you are an employer, please visit "Employing Entities" under Human Resources.

Submitting a form
Please see each form regarding which department to submit it to.

Education
Fax: (888) 589-1304
barry.vaniderstein@nccsda.com

Executive Secretary
Fax: (888) 635-6934
​suzan.williams@nccsda.com

Human Resources
Fax: (888) 609-3904
hr@nccsda.com

Ministerial
Fax: (888) 635-6934
bernadette.johnson@nccsda.com

Treasurer
Fax: (888) 548-5849
treasury@nccsda.com

Payroll
Fax: (888) 502-9698
payroll@nccsda.com
Northern California Conference of Seventh-day Adventists | 401 Taylor Blvd. | P.O. Box 23165 | Pleasant Hill, CA 94523 | (925) 685-4300 | info@nccsda.com