Trumbull Public Schools
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Business Office Forms
Health/Dental Information and Forms

Dental Information and Forms- Delta Dental Website
Flex Account Form - TR Paul Website | Flex Information-

Anthem Blue Cross - Staff | Custodians | CILU ** updated 1/21/11

Business Office Forms

Direct Deposit pdf form
Federal W-4 | CT-W4
Federal W-9 pdf form
Time Sheet word
PD Travel Expense -Excel
Itinerant Travel - Excel
Miscellaneous Expense
- Excel ** Revised 2/14/11
Deposit Transaction Forms - Excel ** Revised 10/25/12

Change of Name/Address/School word - Send to Mary Konecny, Personnel
Intradistrict Travel Mileage Chart pdf form
Vendor Paysheet - Athletics word | Pdf pdf form

Credit Union Information

Waterbury CT Federal Teachers Credit Union
Trumbull Credit Union-452-5095

OMNI FORMS AND INFORMATION

Website for OMNI | 403B Form | 457 Form| Enrollment/Deduction Dates

Please be advised all future employee Deferred Compensation enrollment and deduction changes will be limited to 3 times annually:

Due Date Effective Date
December 1 January 15
March 1 April 1
August 15 September 1


All changes must be submitted to Payroll by the due date listed above to be effective the following month. The only exception will be for elimination of the deduction.

Approved 403b Providers

AXA Equitable

203-288-4351

Ameriprise Financial Services

203-610-8231

Fidelity Management

1-800-835-5095

First Investors

1-800-229-3009

MetLife Groups

203-513-6000; 203-265-3775; 1-800-248-2470

Oldham Resource Group         

1-800-854-6106