East Sac County CSD
Pay Request Form - Substitute Classified Staff
Name of Substitute *
Your answer
Email Address or Phone Number
Your answer
Is this a New Request or a Change *
Date Worked *
MM
/
DD
/
YYYY
Portion of Day Subbed - Hours *
Hours
Building Worked In (select all that apply) *
Staff Member Substituted For
Your answer
Any Other Notes for Payroll
Your answer
Submit
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