Forms and Policies You Need to Review

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 Human Resources Office 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.

Form

Who Should Complete

Instructions

SF-256, Self-Identification of Disability

All employees

 

SF-181, Ethnicity and Race Identification

All employees

 

I-9, Employment Eligibility Verification

All employees

Bring two forms of identification to orientation.  One must be a picture ID.  Section two will be completed by the Human Resources Office during orientation.

Certification Statement for Selective Service Registration Males born after December 31, 1959  

SF-144, Statement of Prior Federal Service

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.

DOJ-543, Employee Locator Information  

All employees

Do not fill out “Office Address.”

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. 

Transit Subsidy Application

All employees who wish to participate

Application will only be accepted after you attend orientation.  Submission of application prior to orientation is not permitted. 

Employee Contact Information Sheet

All employees

Email this to the switchboard on your first day after you report to your office and learn the requested information.

Direct Deposit Form

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.

AD-349, Employee Address for Payroll

All employees

Complete Section I and items 13 & 14.  Do not complete Section II.

W-4, Federal Tax Form

All employees

 

State Tax Forms:

DC (D-4), Maryland (MW-507), or Virginia (VA-4)

All employees

 

D-4A, Certificate of Non-Residence in the District of Columbia

Employees who do not reside in the District of Columbia

 

OGE Form 450, Confidential Disclosure Form

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/

Benefit

Form

Federal Employees’ Group Life Insurance (FEGLI)

SF-2817, FEGLI Election Form

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.

Federal Employees' Health Benefits Program (FEHB)

SF-2809, FEHB Election Form

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.

Thrift Savings Plan (TSP)
(Traditional [pre-tax] contributions and Roth [after-tax] contributions)

TSP-1, TSP Election Form

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.

Flexible Spending Account

(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

Federal Long Term Care Insurance Program

Apply online at www.ltcfeds.com or

by calling

1-800-582-3337

TTY:

1-800-843-3557

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

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 Booklet (Federal Employees Retirement System)

A General Overview of Leave Memorandum

Please review the following documents:

Employee Rights


Employee Conduct & Ethics


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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