Forms

ARTRS Name Change Request Form

ARTRS Address Change Form

ARTRS Irrevocable Contributory Election Form

 Christmas Club

• Contact Laurie Fielder for Christmas Club application
  
  

Direct Deposit Form

Flat Fee Deposit Form

 

ABCBS Vision Application and Change Request Form

Delta Dental Enrollment and Change Form

Health Insurance Change Request Form -JPS
Health Insurance Change Request Form - NEACTC

Health Insurance Enrollment Form - JPS
Health Insurance Enrollment Form - NEACTC

Sick Bank Policy Application and Physician Certification Form

Sick Bank Enrollment Form 

Transfer of Sick Leave Request Form

W4 Federal Tax Withholding Form 2023

Arkansas State Tax Withholding Form