*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 22/23 Annual Open Enrollment Forms:

• Non-Certified Staff – AFSCME
• Non-Represented – Central Office
• Administrators – Admin/WAA
• Certified Staff – WTA
• Change of Name and/or Address Form
• Federal W-4
• Connecticut W-4
• Anthem Blue Cross/Blue Shield Enrollment Form
• Delta Dental Enrollment Form
• Prudential Life Insurance Enrollment Form
• Prudential Life Insurance Beneficiary Form
• Direct Deposit Form
• Credit Union Enrollment Form
• FSA Flex Spending Enrollment Form

Please complete all of the above forms electronically.  Once completed, 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.