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)(link is external)(If enrolled in FEGLI)
Designation of Beneficiary - Federal Employees Retirement System(link is external)
Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee(link is external)
Benefits
Links below are for informational purposes only, you will have an opportunity to enroll in benefits after your start date
Welcome & Overview(link is external)
Dental & Vision (FEDVIP):
BENEFEDS Enrollment Website(link is external)
Dental and Vision Comparison Tool(link is external)
OPM Dental & Vision Website(link is external)
Flexible Spending Accounts (FSA):
Flexible Benefit Program Booklet
FSAFEDS Enrollment Website(link is external)
OPM FSA Website(link is external)
Healthcare (FEHB):
Healthcare Coverage Comparison Tool(link is external)
OPM Healthcare Website(link is external)
Life Insurance (FEGLI):
FEGLI Calculator(link is external)
FEGLI Handbook(link is external)
OPM Life Insurance Website(link is external)
Long Term Care (LTC):
LTC Quick Guide(link is external)
OPM LTC Website(link is external)
Retirement (FERS):
FERS Booklet(link is external)
OPM FERS Website(link is external)
Your Retirement Lifeline(link is external)
Thrift Savings Plan (TSP):
TSP Calculators(link is external)
Additional Information:
Bi-Weekly Pay Calendar 2016(link is external)