Compensation Services

Forms
Requests received after the 10th of each month will process with the following month's payroll.
ABC Bonus Award	WCPSS Retiree Declination	(Excel - 22k \| PDF - 45k)
Direct Deposit	WCPSS Direct Deposit	(Excel - 53k \| PDF - 65k)
Duplicate W-2	WCPSS Request Form	(Excel - 41k \| PDF - 57k)
Earned Income Credit	Federal Tax Form W-5	www.irs.gov
Employee Withholding	Federal Tax Form W-4	www.irs.gov
Employee Withholding	State Tax Form NC-4	www.dor.state.nc.us
Health Enrollment / Changes	State Health Plan	eBenefitsNOW
Dental Enrollment / Changes	Wells Fargo	eBenefitsNOW
Vision Enrollment / Changes	Superior Vision	eBenefitsNOW
Pharmacy Claim	State Health Plan / Medco	www.shpnc.org/ pharm-file-claim
Dental Claim	Wells Fargo	(PDF - 32k)
Life Insurance	MetLife	www.metlife4wcpss.net
Long Term Care	Prudential	www.shpnc.org/ long-term-care.html
401(k) Supplement	Prudential	ncplans.prudential.com
401(k) Supplement	WCPSS Catch-up Deferred Contribution	(Word - 83k \| PDF - 57k)
State Retirement	NC State Treasurer	www.treasurer.state.nc.us
403(b) Annuity	ING (ILIAC)	www.ingretirementplans.com
Flexible Spending Accounts	Pierce Group - Ameriflex Employer Id: amfwcpss	www.flex125.com
Colonial Supplemental Insurance Benefits	Pierce Group	piercegroupbenefits.com
Identity Theft & Legal	Pierce Group - Prepaid Legal Services	secure.lawinfo.com/forms

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3600 Wake Forest Road, Raleigh NC 27611-8041	top