Employment Forms
Please complete the forms in this section and email to Jennifer Salas, HR Specialist
AO78-Application for Employment
AO78B-Voluntary Self Identification Form
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
Life Insurance (FEGLI):
Long Term Care (LTC):
Retirement (FERS):
***For Career Status Law Clerks Only***
Thrift Savings Plan (TSP):
***For Career Status Law Clerks Only***
Additional Information:
Interactive Orientation for Federal Law Clerks (iOLC)-Use Password: federal
Law Clerk Handbook: A Handbook for Law Clerks to Federal Judges
Maintaining the Public Trust: Ethics for Federal Judicial Law Clerks, Third Edition