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Benefit Info and Forms

Retirement Incentives

New York State Teacher's Retirement System

ROBS (Retirees of Brentwood Schools)

Retirement Filing Deadline - Reminder (updated 1/3/19)

403 B Information 

All employees of The Brentwood Union Free School District are eligible to participate in our 403(b) Plan. The third party administrator of our 403(b) Plan is The OMNI Group. Information and enrollment forms can be found on the OMNI website, or by contacting OMNI at 1-877-544-6664.

403b Universal Availability Notice

OMNI Salary Reduction Agreement (updated 2/2016)

Useful information regarding your 403b plan (updated 8/15/18)

403B Why Me? - OMNI Video Presentation

W-2 Information and Tax Forms

W-2 Form has been revised to comply with new IRS regulations. In an effort to clarify items printed on your W-2, the following is an explanation of Box 10, 12 and 14 codes.

  • Box 10:Dependent care contributions only
  • Box 12: Code DD: Total value of medical insurance paid by the District 
  • Code E: 403(b) Contributions only
  • Box 14: Code 414H: ERS/TRS deductions
  • FLEX: Total of all other pre-tax deductions including Empire, HIP, Dental, Vision, AFLAC and/or flexible health spending plan

W-4 Form

NYS/NYC Withholding Form


Employee Maintenance Forms

Direct Deposit form