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Forms For Employee Use

Health Insurance Information

Medco Mail Order Form

Cigna Physician Nomination Form

 

Payroll Forms

Federal Taxes: W4

CT Taxes: W4

Direct Deposit Authorization Form

 

457 Deferred Compensation & 457 ROTH Plans 

457 Payroll Deduction Form

Beneficiary Change Form

Catch Up Info.
Includes information on deferring your final payout from the City

IRA Deferral Change Form

 

 Please print the form and return to the Comptroller's Office
Additional information is located on the City's Intranet which can be accessed from a City computer.

 



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