*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
• Federal W-4
• Connecticut W-4
• Anthem/State Partnership Plan Enrollment Form
• Delta Dental Enrollment Form
• Eyemed Voluntary Vision Enrollment Form
• District Provided Prudential Life Insurance Beneficiary Form
• Direct Deposit Form
• Credit Union Enrollment Form
• FSA Flex Spending Enrollment Form
• HSA Employee Funding

Click here to view the Anthem/State Partnership Plan Powerpoint presentation

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.