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Payroll Forms

If you need to change your direct deposit you can use the form below. Send the completed form and a voided check to HR through inter-office mail.

Direct Deposit Form

If you need to change your HSA contribution amount use the form below. Send the completed form to HR through inter-office mail.

Payflex HSA Form

If you need to change your deferred compensation contribution use the form below. Send the completed form to HR through inter-office mail.

DEF COMP 457B

If you need to change your address or employee contact information use the form below. Send the completed form to HR through inter-office mail.

Employee Information Form

If you need to change your withholding with federal or state tax use the forms below. Send the completed form to HR through inter-office mail.

G-4 State Tax

W-4 Federal Tax


Qualifying Life Event (QLE)

A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.

IF you need to report a QLE to HR please use the following form:

QLE FORM