Payroll Forms

Eldred Payroll

Samantha Knapp-District Treasurer
845-456-1100 ext. 5144
Fax 845-557-8912

Please find below links to payroll forms that may be of help to you:

2021 Federal Withholding Tax Form

2021 State Withholding Tax Form

Address Change-Emergency Contact Form

Direct Deposit Form (Use to start, stop or change direct deposit)

Teachers Retirement System Application

Employees Retirement System Application

ERS Loan Application for Tiers 3, 4, 5 & 6

Preferred Group-Flexible Spending Account Reimbursement Form

Preferred Group-Health Arrangement Reimbursement Form

The Eldred Central School District prohibits and condemns all forms of discrimination and harassment on the basis of race, color, creed, religion, national origin, political affiliation, weight, sex, sexual orientation, age, marital status, military status, veteran status, disability, use of a recognized guide dog, hearing dog or service dog, domestic violence victim status or other protected categories under state and federal law, by employees, school volunteers, students, and non-employees such as contractors and vendors as well as any third parties who are participating in, observing, or otherwise engaging in activities subject to the supervision and control of the District. The Eldred Central School District also does not discriminate in its hiring or employment practices.