Payroll

Payroll Information and Forms

Payroll Schedule 2023-24
Direct Deposit Form
2024 TSA Plan 403(b) and 457(b) Announcement for Pendleton School District

Internal Revenue Service
2024 Federal W-4
IRS Tax Withholding Calculator

Oregon Department of Revenue
2024 Oregon W-4
Oregon Tax Withholding Calculator

Insurance/Benefits

Moda/OEBB Information
Moda Health Insurance Forms
Administrator Insurance Options 2022-23 (pdf)
Certified/Confidential Insurance Options 2022-23 (pdf)
Classified Insurance Options 2022-23 (pdf)
Retiree Insurance Options 2022-23 (pdf)

Moda Insurance Plan Designs 2021-22
Medical
Dental
Vision

American Fidelity HSA/FSA
HRA/VEBA

Tim Gilbert

Payroll Clerk/Federal Grants
Email Tim
(541) 966-3278

Pendleton School District
107 NW 10th Street, Pendleton, OR 97801
Phone: 541.276.6711 Fax: 541.278.3208

The Pendleton School District assures that no person shall on the grounds of race, color, national origin, sex, sexual orientation, religion, age, disability or income as provided by Title VI of the Civil Rights Act of 1964 and related authorities, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any Pendleton School District sponsored program or activity.