Payroll Forms

2015 CT W-4 

2020 IRS W-4

planwithease.com

403(b) / 457 HPS Approved Providers

403(b) Salary Reduction Agreement  - 1 Pay

403(b) Salary Reduction Agreement  - 20 Pays

457 Salary Reduction Agreement - 1 Pay

457 Salary Reduction Agreement - 20 Pays

Roth 403(b) Salary Reduction Agreement - 20 Pays

High Deductible Health Plan (HDHP) with HSA Voluntary Form - Teachers

High Deductible Health Plan (HDHP) with HSA Voluntary Form -Nurses

High Deductible Health Plan (HDHP) with HSA Voluntary Form - Clerks/Paras/Supervisors/Non-Union/Admin/Security

CMERS - Retirement Application

CMERS - Retirement Application Instructions

CMERS - State Withdrawal Form

Dependent Care Assistance Plan Enrollment Form

Dependent Care Assistance Plan Reimbursement Form

Direct Deposit Form

IRS Publication 502 (for Section 125 Medicaid)

Medical Expense Reimbursement Plan Enrollment Form(Section 125 Plan)

Medical Expense Reimbursement (Section 125 Plan)

Section 125 (medical):  What's Covered?

Section 125 Medical IRS Regulations