Employee Forms & Benefits Information

Employee Forms

2019 Payroll Schedule

Federal Form W4 (Personal Allowances)

Federal I-9 Form

Virginia VA 4 Form (Personal Exemptions)

Change of Address

Direct Deposit Form

Time sheet - full time

Time sheet - part time



Northampton County Employee Benefits

Anthem Health
555 Middle Creek Parkway
Colorado Springs, CO. 80921

Flexible Benefit Administrators
Cobra Administrator
PO Drawer 8188
Virginia Beach, Va. 23450
800-437-3539

Virginia Retirement System
1200 East Main St.
PO BOX 2500
Richmond, Va. 23218
888-827-3847

Minnesota Life (group life insurance)
PO BOX 1193
Richmond, Va. 23218-1193
800-441-2258


Voluntary benefits through:

Commonwealth of Virginia's Voluntary Group Long Term Care Insurance
Genworth Life Insurance Company

Minnesota Life (optional life insurance)
PO BOX 1193
Richmond, Va. 23218-1193
800-441-2258

Flexible Benefit Administrators
PO Drawer 8188
Virginia Beach, Va. 23450
800-437-3539

Nationwide Retirement Solutions
PO BOX 182787
Columbus, OH 43218
877-677-3678

Aflac
Chad T. Knapp - Group Critical Illness
Charles Bono - Representative
PO BOX 496
Nassawadox, Va. 23413

Express Scripts
Home Delivery Service
PO BOX 66785
Saint Louis MO 63166


Payroll deductions that are available:

United Way of Virginia's Eastern Shore
PO BOX 605
Onley, Va. 23418
757-787-5622

Virginia Credit Union
PO BOX 90010
Richmond, Va. 23225
800-285-6609

Northampton County Treasurer's Office
PO BOX 598
Eastville, Va. 23347
757-678-0450

Department Staff Information

John D. Chandler 
Finance Director

757-678-0444 ext. 550

jchandler@co.northampton.va.us

 


Jennifer Simpson

Accounting Technician

757-678-0444 ext. 548

jsimpson@co.northampton.va.us

 


Sandra Esposito 

Accounting Technician

757-678-0444  ext. 549

sesposito@co.northampton.va.us

 


Sharitah Goodwyn 
Human Resources
Specialist

757-678-0444  ext. 551

sgoodwyn@co.northampton.va.us




Northampton County Finance Department 

PO Box 66
16404 Courthouse Road
Eastville, VA 23347

Hours of Operation
Monday-Friday
9 AM - 5 PM