Forms & Documents
FORMS & DOCUMENTS
Access the paperwork and official documentation you need, exactly when you need it. This centralized library contains downloadable forms, policy documents, and informational flyers for all ACUSD and ACOE benefit programs. From enrollment applications and benefit waivers to specific claim forms and legal notices, browse our organized collection to handle your administrative needs quickly and efficiently without the hassle of searching.
- Employee Assistance Program Information (Aetna)
- Cash-in-Lieu Policy
- 2026 Attestation Form
- Direct Deposit Form
- W-4 (Tax Withholdings)
- Archive
California Public Employees’ Retirement System (CalPERS) Health Resources
- CalPERS Health Webpage
- CalPERS Health Benefits Presentation for ACUSD & ACOE
- CalPERS Health Plan Search by Zip Code
- CalPERS Region I 2026 Plan Rates
- 2026 CalPERS Health Benefit Summary
- CalPERS Pharmacy Benefits Page
- CVS Caremark CalPERS Page
- Kaiser Medication Formulary Search Tool
- PPO Plan Doctor & Hospital Search Tool
- Health Program Guide
- Public Agency & Schools Health Benefits Guide
- Health Program Webpage
- CalPERS Evidence of Coverage / Summary of Coverage
- More information to come
Benefits Contact Information:
Rachael Miller – Certificated employee payroll questions and all retirement-related questions
209-257-5425 | rachael.miller@acusd.org
Daisy Soto – Classified employee payroll questions and all health insurance-related questions
209-257-5352 | daisy.soto@acusd.org
Do you have a question, but you’re not sure who to ask? Send it to the general payroll inbox at payroll@acusd.org!