Employment Forms
Please complete the forms in this section and email to Jennifer Salas, HR Specialist
Employment Eligibility Verification (USCIS Form I-9)
IT-4 Ohio State Tax Withholding
Ohio Local School Tax Withholding
Employee's Withholding Certificate for Local Taxes City or County
SF144- Statement of Prior Federal Service
Designation of Beneficiary Forms
*** Beneficiary forms must be submitted as originals, do not email/fax ***
Designation of Beneficiary - Federal Employees Group Life Insurance Program (FEGLI)(If enrolled in FEGLI)
Designation of Beneficiary - Federal Employees Retirement System
Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee
Benefits
Links below are for informational purposes only, you will have an opportunity to enroll in benefits after your start date
Dental & Vision (FEDVIP):
Dental and Vision Comparison Tool
Flexible Spending Accounts (FSA):
Flexible Benefit Program Booklet
Healthcare (FEHB):
Healthcare Coverage Comparison Tool