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*This form must be completed by the employee's physician and returned to Personnel prior to the employee's return to work.
**Notify the Office Manager at your site(s) of your address change and send the “Change of Address” form to the District Office,
Attn: Human Resources, 4111 Las Virgenes Road, Calabasas, CA 91302. For all other changes to your personnel records
(i.e., name changes, marital status changes, warrant recipient changes, etc.) contact your Office Manager or Personnel.
***Form to change withholding allowances for State taxes.
****If you are injured on the job, you have the right to be treated immediately by your personal physician or medical group. Y
ou must notify your employer in writing, prior to the injury.