W-4 (Federal Withholding)

A-4 (Alabama Withholding)

FPCS Change of Address

FPCS Direct Deposit

PEEHIP Premium Assistance Application

PEEHIP Wellness Healthcare Provider Screening Form

RSA/PEEHIP Change of Address

EyeMed Enrollment/Change  

RSA-1 Deferred Compensation Form  

Reimbursement Forms

Purchase Order Form (MUST BE PRINTED WITH COLOR)

Expense Voucher (Updated 08-01-2024)

Pay Period Calendar

Pay Periods for the 2024-2025 School Year

Links

American Fidelity

Express Scripts – Register for Your Account

Express Scripts – Prescription Card and Documentation

Eye Med – Vision Insurance Option

PEEHIP – Annual Wellness Form for Physician

PEEHIP – Coordination of Benefits Form

PEEHIP – Flexible Spending Account – Understanding Your Benefits for FSA and Dependent Care Forms

PEEHIP – New Enrollment and Status Change - Options that cannot be completed online

PEEHIP - Premium Assistance Application

PEEHIP - Premiums

PEEHIP – RSA Online Account

PEEHIP – FSA Orthodontia Form

Southland Benefits – Request a Card, See Coverage for Optional Coverage Plans

Frontline Education (formerly AESOP)

Retirement Systems of Alabama (RSA)

American Fidelity

EyeMed Vision Care