If you have recently gotten married/divorced, etc, please update our office with any new information. Some things to consider:
- Confidential Information Form - to update any dependent information
- Residency Certification Form – please complete ONLY if you are changing your address.
- Payroll Direct Deposit form – please complete ONLY if you are changing banking information.
- W4 – please complete ONLY if you are changing your name and/or tax withholding information.
- You may add or remove dependents to/from your insurance coverages within 31 days from the date of change. To do so, please complete the Enrollment Change Form and Life Status Change Form. If you'd like to add/change your Flexible Spending Account elections, please complete and return the HealthSmart Life Status Change Form.
- Beneficiary Changes