Employment Opportunities

Employee Self-service 

Welcome to the Roland-Story Employee Self-Service Page.  Below you find helpful links to make changes to your withholdings, benefit information, and Wellness Program information.  

The red links will take you to the forms that can be downloaded and returned to the central office.  They need to be returned by the 1st of the month if you want them to be effective for that month's payroll.  If you have any questions or are unable to download the forms please contact Lacy Lake at 515.733.4301 or by email at Email Lacy Lake

  • Federal W-4: This is the form to change your federal exemptions.  

  • State W-4:  This is the form to change your state exemptions.

  • 403(b) At-A-Glance Information:  This is summary information on the 403(b) program.  Roland-Story allows contributions to be made to any of the core providers.  We do not offer the roth option.

  • 403(b) Salary Reduction Form:  This is the form needed if you want to start a contribution to a 403(b).  Roland-Story does not offer the Roth option and all contributions are employee contributions.

  • Wellness Incentive Program Information:  This is information on the wellness incentive program.

  • Wellness Incentive Form:  This is the reimbursement form for the wellness incentive program.

  • MetLife Statement of Health: (Evidence of Insurability Form): Each employee or spouse must complete a copy of this form if they are requesting voluntary life insurance in excess of the Guaranteed Issue amount (Employee >$100,000, Spouse >$25,000) or are late entrants to the plan.

  • Flexible Spending Account Application: This is the Advantage Administrators flexible spending account application for 2023-2024.

  • Direct Deposit Form: Use this form to enter or change a payroll direct deposit.  For verification and accuracy, you must attach a voided check or a letter from your bank or credit union stating the routing and account numbers for each account listed above.

    If you are looking for a copy of a past paycheck, W-2, leave time, or just want to know what exemptions you are claiming you will want to choose this link to the Grant Wood AEA Employee Self-Service Center, click here.  You will need to enter your username and password.  Your username is the first letter of your first name followed by your last name.  If this is the first time you are on this website your password is the last four numbers in your social security number and the four-digit year you were born.  You may change this password once you are on your page.  While you are on this page please take the time to make any necessary changes that are needed.  If you have any questions, please contact Lacy Lake in the central office.