FY 25/26 Payroll Calendar

• Connecticut Income Tax Withholding Requirements for Connecticut Employees
• Federal W-4
• Connecticut W-4
• Employment Verification Form: I-9

Direct Deposit Form

• Voluntary Vision Plan Document 
• Summary of Benefits and Coverage
• Benefit Summary
• Portal Information
• Employee Cost Share - 25-26
• Click here to view the SPP introductory presentation
• Anthem/State Partnership Plan Enrollment Form
• Eyemed Voluntary Vision Enrollment Form

• Delta Dental Web-Site – click here
• Dental Claim Form
• Delta Dental Enrollment Form

• Prudential General Information/Rates
• Prudential Voluntary Life Enrollment Form

• Non-Certified Pension
• Teacher’s Retirement Beneficiary Form
• CT Teachers’ Retirement System Members Handbook

Section 125 Flex Spending

• • How to Save on Medical Expenses
  • FSA Plan Highlights
  • FSA Enrollment Booklet
  • FSA Debit Card Information
  • FSA Flex Spending Enrollment Form
  • FSA Worksheet and OTC Form
  • FSA/HRA Eligible/Ineligible Fact Sheet
  • FSA Limits and Regulations
  • Limited FSA Information
  • ABS Summary Plan Description
  • ABS Dependent Care Affidavit
  • ABS Direct Deposit Form
  • ABS Quick Tips
  • ABS Pre Tax Program Reimbursement

• OMNI’s Web-site click: 403B

*All ORIGINAL SIGNED FORMS must be returned to Marisa Forchione, Payroll/Benefits Dept., with the Open Enrollment Form. 

Open enrollment forms only need to be completed if you would like to make a change to your current information. 

Even if you only want to change the number of pays you receive each year, 22 vs. 26, please complete the appropriate  enrollment form (AFSCME, WTA, Central Office, WAA.) below:

FY 25/26 Annual Open Enrollment Forms:

• Annual Open Enrollment Form for Non-Certified Staff – AFSCME
• Annual Open Enrollment Form for Non-Represented – Central Office
• Annual Open Enrollment Form for Administrators – Admin/WAA
• Annual Open Enrollment Form for Certified Staff – WTA
• Anthem/State Partnership Plan Enrollment Form
• Delta Dental Enrollment Form
• Eyemed Voluntary Vision Enrollment Form
• District Provided Prudential Life Insurance Beneficiary Form
• Credit Union Enrollment Form
• FSA Flex Spending Enrollment Form

Once you have completed the necessary forms, please print them, sign them, and then send them to Marisa Forchione in the Payroll Dept. via interoffice mail or via postal mail to Weston Public Schools, Payroll Department, 24 School Rd, Weston, CT 06883.