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Clerk's Office & Judicial Support

Employment Forms

Please complete the forms in this section and email to Jennifer Salas, HR Specialist

FMS2231- Direct Deposit

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

Prior Service Questionnaire

SF144- Statement of Prior Federal Service

W-4

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)

Benefits Overview Booklet

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 Booklet(link is external)

TSP Calculators(link is external)

TSP Website(link is external)

Additional Information:

Bi-Weekly Pay Calendar 2016(link is external)

Leave Accrual Chart for 2016

Ohio Tax Finder(link is external)

Pay Rate Tables