Medical, Dental and Vision Forms  

 For Medical Enrollment forms, please log in to the PWCS Intranet with your PWCS ID and login. Select Human Resources then Benefits for forms and information. 


For Health, Dental and Vision insurance information and premiums, please visit Alex, our online Benefits counselor.


Medical/Dental/Vision Claim Forms

For Anthem  out-of-network claim forms, log into your account on the Anthem Website

For Delta Dental  out-of-network  claim forms, log into your account on the Delta Dental website

For Vision Service Plan (VSP)  out-of-network claim forms, log into your account on the VSP website

Flexible Benefit Program Forms

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For Flexible Spending Claim forms or online claims submission, log into your account at the P&A Group website.  


Virginia Retirement System Forms

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PWCS Forms

pwcs logoPayroll Forms - (Direct Deposit Forms, Tax Withholding Forms, Etc.)
HR Forms

Retirement Opportunity Program (ROP)

Updated ROP forms coming soon!
  • Work Assignment Completion Record (PDF)
  • ROP Time Sheet (PDF)
  • Participation/Work Assignment Request (PDF)


Lincoln Financial Group Forms

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Changes to your 403(b) contributions and beneficiaries are now done either online or by contacting Lincoln Financial directly. 

Time & Leave Forms

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 For PWCS Leave forms, log in to the PWCS Intranet and visit the Human Resources Benefits page.


Standard Long Term Disability Forms

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Tuition Reimbursement Forms

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Please note - tuition reimbursement requests must be submitted as soon after registration for approval. We do NOT accept initial requests for reimbursement once the class is over.


For Tuition reimbursement forms, please log into the PWCS Intranet Human Resources Benefits page.