YKLA - Employment Forms

Employer Name
Welcome Aboard!
Dear Faculty Member,

Thank you for being a part of the Yeshiva Ketana of Los Angeles, Professional Team!

Your work is very valuable to us and the Yeshiva Ketana Human Resources Department is here to support your efforts.

In order to ensure that you are compensated accurately and in a timely fashion, please click through the forms below to complete and submit your required information and documents as soon as possible.

Please understand that if forms are submitted incomplete or late, we may not be able to properly review and process your compensation in a timely manner.

Thank you in advance for your cooperation!

Summary of Available Forms
- I9 Form - Employment Eligibility Verification
- W4 Forms - Federal & State (if applicable)
- Parsonage Form - Allowance Application for Clergy Staff (optional)
- QTR Form - Tuition Reduction Benefit for “exempt - full time” Staff (optional)
Helpful Documents to Have Available Before you Start
- IDs: Passport, Driver's license and social security card.
- Financial Information: Previous year's tax returns and W2s.
- Housing Information (for Parsonage Form): Mortgage statement, real estate tax bill, homeowner's insurance policy, utilities bills, etc.
- Tuition Information (for QTR Form): Upcoming year's tuition agreement, name and address info of schools
- Banking Information: Bank account information and copy of blank check
If you have any questions or need any assistance filling out these forms, please feel free to contact us at hr@ykla.org or at 818-855-8379 x 103.

Sincerely,

Yeshiva Ketana - Human Resources

Contact Information

Employee & Emergency Contact Information
Employee Information
Employee Name*

First Name and Middle InitialLast Name
Home Address*

(Street Number and Name)

Apt #

City or TownState

ZIP Code
E mail Address*
example@example.com
Cell Phone*
Emergency Contact Information
Emergency Contact Name
Relationship to Employee
Daytime Telephone
E mail Address
example@example.com

Employment Information
School Year of Employment*
select the appropriate school year
If available, please upload a copy of your signed Employment Letter

Browse Files

Cancelof
Employment Status*

I am a new employeeI am a returning employee
IMPORTANT

All NEW staff are required to get fingerprinted, prior to starting to work. Please read and complete the following instructions, before completing your paperwork.
1. Elementary Staff, download and print the PDF document below. You may also obtain a copy from the Main Office.
2. Preschool Staff, please request a copy of the Preschool Livescan form from Mrs. Forman
3. Google "LiveScan site near me" or visit https://oag.ca.gov/fingerprints/locations, to find the nearest LiveScan location near you.
4. Once at the LiveScan location, complete and hand in this form. You will get fingerprinted and they will complete the remainder of this form.
5. Retain a Copy of this Completed Form! Once you have completed the fingerprinting and had this form completed, please submit to the Main Office or email to tyuz@ykla.org
I have read and understand the instructions above.

I further understand that I will not receive my pay, until I have completed my background check, gotten this form completed and submitted it to the main office.
Please sign*

Clear

Returning employees, please click next
Employment Eligibility Verification

Department of Homeland Security
USCIS Form I-9

U.S Citizenship and Immigration Services
Section 1

Employee Information and Attestation
Legal Name*

First Name and Middle InitialLast Name
Other Last Names Used (if any)
Date of Birth*

MonthDayYear
(mm/dd/yyyy)
U.S. Social Security Number*
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following boxes):
1. A citizen of the United States2. A non-citizen national of the United States (See instructions)3. A lawful permanent resident4. An alien authorized to work in the United States
Employee Signature*

Clear
Today's Date (mm/dd/yyyy)*

MonthDayYear
Preparer and/or Translator Certification (check one):*

I did not use a preparer or translator.A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1)

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
Signature of Preparer or Translator*

Clear
Today's Date (mm/dd/yyyy)*

MonthDayYear
Date
Name of Prepare or Translator*

First Name (Given Name)Last Name (Family Name)
Address of Preparer or Translator*

Address (Street Number and Name)

Street Address Line 2

City or TownState

ZIP Code
Section 2

Required Documents
Employees may upload one selection from List "A" OR a combination of one selcetion from List "B" AND one selection from List "C"

Please see the list of acceptable documents below
Will you be submitting?*

1 Document from "List A"1 Document from "List B" and 1 Document from "List C"
Please upload 1 required document, from "List A" *

Browse Files

Cancelof
Please upload 1 required document, from "List B" *

Browse Files

Cancelof
Please upload 1 required document, from "List C" *

Browse Files

Cancelof

Parsonage Designation

Worksheet
Important Information - Please Read Before Completing this Form
- Compensation received as parsonage allowance is not reportable for income tax on your 1040 but is subject to self employment tax and must be reported on Schedule SE of your 1040 return. Please discuss with your accountant.
- The aggregate parsonage allowance may not exceed the fair rental market value of the home including furnishings (and garage) plus utilities. Excess amounts should be reported as income on your tax return.
- Evidence of expenses should be kept in your files.
- The Board will need review and approve this request prior to any parsonage payments being issued. You will receive a formal copy of the approval, please keep a copy for your records.
Will you be requesting a parsonage allowance (clergy only)*

YesNo
Housing Expense Summary
Set forth are the estimated expenditures anticipated during the {schoolYear268} school year, to maintain my home.
Rent/Mortgage Payments
principal & Interest
Real Estate Taxes
Renter's/Homeowners Insurance
Utilities
Repairs & Maintenance
Home Improvements
Furnishings, Appliances, Home Decor, Household Goods
Other Allowable Expenses
Total Parsonage Allowance Requested*
The above is an accurate estimate of my anticipated housing expenses. These estimated expenditures shall remain in effect unless modified.
Signature of Clergy*

Clear
Date*

MonthDayYear
Date

Do we have your direct deposit information on file already?*

Yes, please continue using the same information.No - I would like to submit new or update the information you have
Authorization for Direct Deposit
By providing authorization for direct deposit, I understand that the school is not committing itself or implying that payroll will be issued via direct deposit at this time. The school will keep this authorization in my employee file in the event direct deposit becomes a possibility or is needed from time to time.
Declaration
I authorize Name of School* to deposit my pay automatically to the account(s) indicated below and, if necessary, to adjust or reverse a deposit for any payroll entry made to my account in error. This authorization will remain in effect until I cancel it in writing and in such time as to afford Name of School* a reasonable opportunity to act on it.
Account Information
Name on Bank Account*
Bank Account Number*
Bank Routing Number*
Account Type*

CheckingSavings
Please attach a voided check for the bank account to which funds should be deposited.

Browse Files

Cancelof
Employee Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Welcome Aboard!

Contact Information

Employee Information

Emergency Contact Information

Employment Information

Employment Eligibility Verification

USCIS Form I-9

Section 1

Section 2

FORM W-4

Step 1: Personal Information

Step 2: Multiple Jobs or Spouse Works

Step 3: Claim Dependents

Step 4: Other Adjustments (optional)

Step 5: Sign Here

EDD Form

Allowances

Additional Withholding

Parsonage Designation

Housing Expense Summary

QTR Benefit - Qualified Tuition Reduction

Designation Information

Total Designation

Authorization for Direct Deposit

Declaration

Account Information