Payroll Forms

Direct Deposit Form make changes to your direct deposit

Federal Tax Withholding Form change your federal tax withholding

State Tax Withholding Form change your state tax withholding

Benefits Forms

Benefits Enrollment / Change Form enroll, add or remove dependent(s) from medical, dental, and vision insurance

Claim Form file a medical claim

Medical / Dependent Care Enrollment Form to enroll in healthcare and/or dependent care FSA

Parking / Transit Enrollment Form to enroll in parking FSA

Optional Life Insurance appy for optional life insurance coverage

Evidence of Insurability Form enroll or increase amount of optional life coverage after initial enrollment period

Deferred Comp Employee Enrollment Form enroll in the deferred compensation plan for the first time

Deferred Comp Simplified Change Form change amount of deferred compensation deduction only

Application for VRS Service Retirement apply for VRS retirement benefits

VRS Beneficiary Form designate a beneficiary for Group Life, Optional Life & VRS retirement benefit

VRS Request for Refund Request for Refund You MUST read the IRS 402(f) Special Tax Notice  before filling out this form.

Tuition Assistance apply for tuition assistance (must register for class prior to submission of application)

Grade Submission Form submit grades once class is completed

Vision Form enroll, add or remove dependent(s)