Employee Benefit & Payroll Information
Payroll Forms and New Hire Packets
- Employee Benefit Handbook
- Direct Deposit Form - This form must be completed in person at the Treasurer / Collectors office
- ADP Employee Portal Registration (Access Pay Statements, W2's, Update Tax and Address Information..)
- M4 Form (State Payroll Tax Withholdings) This form must be completed in person at the Treasurer / Collectors office
- W4 Form (Federal Payroll Tax Withholdings) This form must be completed in person at the Treasurer / Collectors office
- 403b Tax Sheltered Annuity Investments Savings (School Only)
- Deferred Compensation SMART Plan Information (Empower Retirement)
- 457 Mandatory OBRA Separation From Employment Request/Withdrawal Request
Insurance Rate Sheet
Insurance Enrollment & Waiver Forms: Health, Dental & Vision
Important - Please submit enrollment forms without SSN's; the benefit coordinator in the treasurer's office will call you for this information.
- Access our Blue Cross Blue Sheild E-Kit (Electronic Kit)
- BCBS Health & Dental Insurance Enrollment Form
- BCBS Vision 20/20 Insurance Enrollment Form
- Insurance Waiver Form - Group Health and Life
Additional Benefit Information & Enrollment Forms
- MIIA Employee Wellness Program
- MIIA Employee Assistance Program AllOne Health Website
- Boston Mutual Group Life Insurance Brochure
- Flexible Spending (FSA) Information & Enrollment Form: Health and Dependent Care
- Children's Health Insurance Program (CHIP)
- AFLAC Insurance (Voluntary)
- UNUM Long Term Disability (Voluntary)
- Allstate (Voluntary)
- Colonial Life (Voluntary- Police & Fire only)