William J. Rothaar - Financial
Administrator - Ext. 270
Phone (631) 727-3200
Fax (631)727-4230
1295
Pulaski Street
Riverhead, NY 11901
Monday - Friday - 8:30 a.m. - 4:30 p.m.
Carol Del Vecchio,
Payroll Supervisor, Ext. 217
Joan Mottern, Account Clerk Typist, Ext. 285
Forms for Employee Related Services:
Cancer Screening Leave Form
Direct Deposit Form
Dental Plan Benefit Booklet – Metlife
Dental Claim Form – Metlife
Empire/United Health Care
Online Provider Directory
Empire Claim Form
Employee Accident Form -
Please Complete and send to Jean Miloski
Employment Application
Federal Withholding Form - W-4
HIP - Vytra Healthcare Link
New York State Deferred Compensation Link
New York State Retirement System
Payment Claim Voucher
Purchase Requisition
Section 125 – Flexible Benefit Plan
Sick Bank Membership Application
Sick Bank Request Application
Sick Buy Back Form - CSEA
Sick Buy Back Form - PBA
Sick Buy Back Form - SOA
State Withholding Form - IT-2104
Vacation Buy Back Form - CSEA
Vacation Buy Back Form - SOA
Vision Plan Benefit Explanation – Cole
Vision Claim Form – Cole
Vision Claim Form – Cole - Out of Network
Accounting Home Budget Process
Finance Personnel Report
