U.S. Department
of Justice
Forms and Policies You Need To Review
Below you will find a list of forms that we need you to complete in order to bring you on board. Please complete the appropriate forms and bring them with you to orientation on your first day. Scroll down the page to locate the benefits forms, which do not have to be submitted on the first day. You have additional time to make benefits elections, as indicated below.
We understand that you may have questions about your employee benefits and/or the various employment forms. Please email your Human Resources Specialist or call the Office of Human Resources at (202) 307-0261 with any questions. We will be better able to assist you if you send your questions to us prior to the orientation session.
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Form |
Who Should Complete |
Instructions |
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All employees |
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All employees |
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All employees |
Bring two forms of identification to orientation. One must be a picture ID. Section two will be completed by the Office of Human Resources during orientation. |
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| Certification Statement for Selective Service Registration | Males born after December 31, 1959 | |
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All employees |
All employees should summarize prior government service, even if you check “yes” to question 4. If you do not have any prior service, write N/A in blocks 5 through 7. If you had prior active duty military service, please provide copies of your DD 214, Military Discharge Certificate. |
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All employees |
Do not fill out “Office Address.” |
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Notice to New Employees: Withholding for Social Security (FICA) Taxes |
Only employees transferring from another federal agency |
Leave “Organizational Code” blank. Please provide a copy of your final earnings statement. |
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All employees who wish to participate |
Application will only be accepted after you attend orientation. Submission of application prior to orientation is not permitted. |
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All employees |
Email this to the switchboard on your first day after you report to your office and learn the requested information. |
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All employees |
Prior to orientation, go to your bank and get the representative's signature. After you get the signature, do not have your financial institution mail this to us as instructed on the form; rather, bring it to orientation. |
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All employees |
Complete Section I and items 13 & 14. Do not complete Section II. |
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All employees |
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State Tax Forms: |
All employees |
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D-4A, Certificate of Non-Residence in the District of Columbia |
Employees who do not reside in the District of Columbia |
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Only Attorneys |
Attorneys must complete this form within 30 days of entry on duty and turn into your Staff Assistant or Supervisor. (Do not turn this form in during orientation.) |
Benefits Forms
As a new employee, there are some decisions that you will need to make, most within 31 or 60 days from your appointment date. If you have not decided on your benefits elections by the first day you report for duty, you are not required to submit those forms at orientation. Be sure to consult with the Civil Division's Benefits Service Center, Government Retirement & Benefits, Inc. (GRB) at 1-877-386-4010 or bsc@grbinc.com for specific deadlines.
If you fail to make an election within the required deadline, you are considered to have declined coverage. You will not have another opportunity to enroll until the annual open season (conducted in late fall) or unless you experience a qualifying life event (see http://www.opm.gov/insure/health/planinfo/qle.asp) that would allow you to enroll.
If you are transferring from another federal agency, your benefits will continue and you cannot re-enroll. For comprehensive information on benefits, visit the Office of Personnel Management’s website at http://www.opm.gov/healthcare-insurance/Guide-Me/Federal-Employees/
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Benefit |
Form |
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Basic insurance is automatic. You should complete the form even if you do not elect optional insurance. Complete the SF-2817 within 60 days to waive or elect optional insurance. |
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You should complete the form whether you elect to enroll or not. You have 60 days to enroll. For assistance, contact GRB at 1-877-386-4010 or bsc@grbinc.com. |
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Thrift Savings Plan (TSP) |
This is used to change your regular or Roth contributions. TSP-1-C, TSP Catch Up Contribution Election For employees over 50 electing to make “catch-up” contributions. For assistance, contact GRB at 1-877-386-4010 or bsc@grbinc.com. |
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(Pre-tax benefit program for health care and dependent care) |
Enroll online at www.fsafeds.com or by calling 1-877-372-3337 TTY: 1-800-952-0450 |
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Apply online at www.ltcfeds.com or by calling 1-800-582-3337 TTY: 1-800-843-3557 |
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Federal Employees Dental and Vision Insurance Program (FEDVIP) (Provides supplemental policies secondary to FEHB coverage) |
Apply online at http://www.BENEFEDS.com or by calling 1-877-888-FEDS (1-877-888-3337) TTY: 1-877-889-5680 |
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Designations of Beneficiary for: Unpaid Compensation Life Insurance (FEGLI) Retirement Contributions |
SF-1152, Designation of Beneficiary: Unpaid Compensation of Deceased Civilian Employee SF-2823, FEGLI Designation of Beneficiary SF-3102, FERS Designation of Beneficiary OR SF-2808, CSRS Designation of Beneficiary. For assistance, contact GRB at 1-877-386-4010 or bsc@grbinc.com. |
Other Benefits Information:
FERS - Federal Employees Retirement System (An Overview of Your Benefits) Pamphlet
Civil Division Memorandum - A General Overview of Leave
Please review the following documents:
Employee Rights
- Prohibited Personnel Practices
- Merit System Principles
- Know Your Rights When Reporting Wrongs & Whistleblower Retaliation
- Your Rights As a Federal Employee
Employee Conduct & Ethics
- Standards of Ethical Conduct for Employees of the Executive Branch
- Off-Duty Conduct and Ethics Handbook
- Accepting Compensation, Stipends, Benefits or Sponsorship from a Non-Federal Source
- Reporting and Responding to Allegations of Harassment and Sexual Misconduct
- Guidance Memo on Consideration of Misconduct
Safeguarding Information & Computer Use
Attorneys should email listings@martindale.com for a complimentary entry in Martindale-Hubbell. Include your name, work address, date of birth (you may ask them not to publish this), year admitted to the bar, area of practice, and school attended.
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