Payroll Forms


      

Enroll, change, or cancel. 

  2022 Federal tax withholding form via IRS.GOV (fillable form).
  2022 Connecticut State tax withholding form via CT.GOV/DRS.

  

Benefits Forms

403(b) Salary Reduction Agreement

 

Enroll or change your TSA Contributions. Please establish your TSA - 403(b) account before submitting form to the Payroll/Benefits Dept.

403(b) Approved Vendors                                                                

  Review the list of approved plan vendors.

457(b) Deferred Compensation Plan Form

  Enroll or change your 457(b) Contributions. Please establish your 457(b) account before submitting form to the Payroll/Benefits Dept.

The Hartford Life Insurance Beneficiary Form

  Update beneficiaries, i.e. add spouse or dependents.
 

Update beneficiaries with Teachers' Retirement Board.

  Change address, marital status or name (Social Security Card required for name change).
 

Update or change HSA information for Instructional Assistants.

  Update or change HSA information for Teachers.

HSA Change Form (Administrators, Secretaries, Technicians, Managers, Nurses and Maintenance)  

  Update or change HSA information for Administrators, Secretaries, Technicians, Managers, Nurses and Maintenance.    

Town Pension Beneficiary Form                                                        

  Update or change beneficiaries.