Prescriptions - CVS Caremark Mail Service Order Form (90 day only)

Health and Dental Benefits Overview

Health Insurance Claim Form

Ameritas Dental Claim Form

Ameritas Dental Enrollment Form

Ameritas - Overview of Benefits

Ameritas/Dental Full-time Student Status Form - 9/14

Take Care (WageWorks) Health Care Account Claim Form

Take Care (WageWorks) Dependent Care Account Claim Form

Prescriptions - CVS Caremark Non-Medicare Reimbursement Form

Prescriptions - CVS Caremark Silverscript Medicare Reimbursement Form

CVS Care Mark ID Card for active and non Medicare retirees

Silverscripts ID Card for Medicare Retirees

24-25 Substitutes Pay Schedule

2024-2025 Benefits Deduction Schedule

24-25 SY Pay schedule

Salary Method of Payment for 10 month Employees

Direct Deposit Authorization Form

403(B) Retirement Plan Contribution Limit 2024 - OMNI

403(B) Retirement Plan SRA Form - OMNI

2024 IT-2104 NYS form

2024 Form W-4

Expense Reimbursement Procedures - Updated 2016

Rockland Employees Federal Credit Union Payroll Deduction Form