Payroll Forms & Information

• Change of Name/Address

• Data Form/Emergency Contact

• Direct Deposit

• I-9 Form

• OMNI

• Payroll Calendar 23/24

• Pension Rates 23/24

• Retirement Planning Checklist

• W-4 Federal Form

• W-4 RI Form

• W 9 Form

General Information

• Administration Holidays 23-24

• Aesop Guide

• Aesop Phone Instructions

• Bloodborne Pathogens

• Calendar 23/24

• Coastline EAP

• Employee Handbook 23/24

Benefits

• Aflac Flyer

• BCBS Application

• BCBS Summary of Benefits 23/24

• COBRA Rates 23/24

• CVS Caremark Register

• CVS Caremark Digital Tools

• CVS Caremark Generic Medication

• CVS Caremark Maintenance Choice

• CVS Caremark Specialty

• Delta Dental Enrollment Form

• Delta Dental Summary of Benefits 23/24

• Life Insurance Enrollment Form

• Life Insurance Policy

• Medical & Dental Rates 23/24

• Medical & Dental Waiver

• Open Enrollment 2023

• VSP Enrollment Form (TAN & Admin. Employees Only)

• VSP Summary of Benefits 23/24

• VSP Plan Rates 23/24

Time Out of Work

• FMLA Fact Sheet

• FMLA Form

• FMLA Caregiver Form

• Leave Form

NPS Retiree Information

• Classic Blue Summary of Benefits 23/24

• Healthmate (100/80) Summary of Benefits 23/24

• Healthmate (25/10) Summary of Benefits 23/24

• London Health Option #1 2023

• London Health Option #2 2023

• London Health Claim Reimbursement

• Medical Premiums 23/24

• Medicare Rx Summary of Benefits 5/15/30 2023

• Medicare Rx Summary of Benefits 7/25/40 2023

• Medicare Rx Summary of Benefits 80/20 2023

• Plan 65 G Summary of Benefits 2023

• Plan 65 C Summary of Benefits 2023

• Post Retirement Wage Form

Council 94 Forms

• C94 Educational Opportunities 22-23

• C94 Perfect Attendance Form 22-23