Employee Forms
2020 Payroll Schedule
2021 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