Payroll Forms

Direct Deposit Form         

      

Enroll, change, or cancel. 

Federal Withholding Form W-4

  2022 Federal tax withholding form via IRS.GOV (fillable form).

CT State Withholding Form CT-W4

  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.

Teachers' Retirement Board (TRB) Beneficiary Form

 

Update beneficiaries with Teachers' Retirement Board.

Cigna Enrollment/Change Form

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

HSA Change Form (Instructional Assistants)

 

Update or change HSA information for Instructional Assistants.

HSA Change Form (Teachers)

  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.