Compensation Services

Benefits | Payroll | Request Information Online

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
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
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
"Our mission is to provide quality service and support to all employees"
3600 Wake Forest Road, Raleigh NC 27611-8041 | (919) 850-8950 | Fax (919) 713-0680
Last Update: January 28, 2010