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)
Q&A: New York State's Tier IV Pension Plan









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, www.omni403b.com or by contacting OMNI at 1-877-544-6664.

403b Message from Irene Malfa, Payroll Manager

403b Universal Availability Notice

OMNI Salary Reduction Agreement (updated 2/2016)

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

OMNI Updates


Flexible Spending Plan

Plan Overview

Healthcare Reimbursement Form

Dependent Care Reimbursement Form


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
Change of Address/Name

Website by SchoolMessenger Presence. © 2019 West Corporation. All rights reserved.