Business Office

Payroll Forms

• Payroll Schedule 2023-2024
• Payroll Schedule 2024-2025
• 21.5/26.5 Election Notice
• 22.7 or 26.7 Election Notice (Clerical Only)
• Direct Deposit Form
• W-4 Form
• NY State Tax Form (IT-2104)
  
  
  

Employee Expense Reimbursement

• Conference Reimbursement Claim Form
• In-District Mileage Chart
• Vendor (Employee) Claim Form
  
  

Teacher Retirement System (TRS)

• TRS Website
• New Applicant
• Name and Address Change
• Loan Application
• Request for Prior Service
  
  
  

NY State Retirement System (ERS)

• ERS Website
  
• New Applicant
• Name and Address Change
• Loan Application (Tier 3, 4, 5 & 6)
• Request for Prior Service
• Change Beneficiary
  
  
  

403(b) and/or 457(b) Plan (Roth option also available)

• Online Instructions and Enrollment Through our Third Party Administrator, The OMNI Group
  

Health Insurance Links

• Suffolk School Employees Health Plan Information
• Summary of Benefits
• United Health Care Website
• United Health Care Change in Enrollment
• UHC Non-Participating Claim Form
• Health Advocate
• Updated Plan Information

COBRA FORMS

• Please contact Cathy Bagley, Senior Account Clerk, at 631-730-1557 for information
  
  

Dental Insurance

• Dental Claim Form
• DMO Summary of Benefits
• How to Find a Provider Online
• PPO Dental Summary of Benefits

Flex Benefit Plan

• BTAA and SCGA Claim Form for Reimbursement Medical, Dental, and Vision Expenses
• JJ Stanis Health & Dependent Care Reimbursement
   
  
  

AFLAC

• Online Services
  
   
  

Vision Screening

• Vision Screening Benefits