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Complete MCPS Form
445-1 Change
in Personal Information.  |
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If you are changing
your name, attach copy of your marriage certificate.
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Send the form and
copy of your marriage certificate to the Employee
and Retiree Service Center.  |
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Complete MCPS Form
W4-MW-507 Employee’s
Withholding Allowance Certificate.  |
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Send the form to
the Employee and Retiree Service Center.  |
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Note: Changing
an address does not change state and local jurisdictions
for income tax withholding. You may also want to
examine your dependents and filing status.  |
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Complete MCPS Form
280-31
Direct
Deposit Authorization.  |
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Send the form to
the Employee and Retiree Service Center.
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To add spouse and any new dependents.
Cancel if signing up for family through spouse’s
coverage.  |
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Complete MCPS Form
455-20 Employee
Benefit Plan Enrollment.  |
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Send the form with
a copy of your marriage certificate and dependent
children’s birth certificates to the Employee
and Retiree Service Center.  |
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Note: MUST BE DONE
WITHIN 60 days of marriage, or next Open Enrollment
period. You should receive your updated cards within
30 days by mail.  |
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Complete MCPS Form
455-20 Employee
Benefit Plan Enrollment, Section VI  |
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Send the form to
the Employee and Retiree Service Center.  |
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Complete ERSC Form
514
Optional
Dependent Life Enrollment Form.  |
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Send the form to
the Employee and Retiree Service Center.  |
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Note: MUST
BE DONE WITHIN 60 days of marriage, or next Open
Enrollment period subject of evidence of insurability.
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Complete ERSC Form
300
Flexible
Spending Account Election Form.  |
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Send the form to
the Employee and Retiree Service Center.  |
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Note: MUST
BE DONE WITHIN 60 days of marriage. Cannot be used
for expenses incurred prior to first contribution
date.  |
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Complete MCPS Form 455-5,
Designation of
Beneficiary/Beneficiaries for
the County and Form
MSR004 for the State
Retirement and Pension System of Maryland.
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Send both forms to the Employee
and Retiree Service Center.  |
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Contact Carrier.
Phone
numbers and web addresses.  |
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MCPS will automatically notify
the association of any change of personal information.
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Note: No action by you is required.
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Contact MCPS Security Office,
CESC, Room 207.  |
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If your work location requires
parking stickers, contact your work location to
provide change of personal information.  |
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Contact Help Desk 301-517-5800.
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Note: Name must be changed in
the Shared Services Center records first. ID doesn’t
change, just name as it appears on mail.  |
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Change name on personal accounts:
bank, investment, credit cards, Social Security,
driver’s license, voter registration, etc.  |
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