Document Actions
Benefits Forms (for City of Newport News Employees)
Benefits forms available for download for City Employees.
All forms are in PDF format. PDF format means that a PDF viewer (such as Adobe Acrobat Reader) must be used to view and/or download the form(s). If you do not have a PDF viewer installed on your computer, you may download Adobe Acrobat Reader free.
- Dental Insurance Enrollment Form
- Health Insurance Enrollment Form
- ICMA Enrollment/Change Form
- NNERF Life Insurance Enrollment Form
- Premium Conversion Plan Enrollment Form
- Reimbursement Accounts Enrollment Form
- Reimbursement Accounts Claim Form
- Short & Long Term Disability Enrollment Form
- Termination of Benefits Form
- Vision Insurance Enrollment Form
Payroll Form
- W2 and 1099 Request Form — Reprints are processed on Tuesdays and Fridays
For information on benefits, please visit the Benefits division. For information on payroll, please visit the Payroll division.
