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Human Resources: New Employee Information

 

 

 

 

 

 

   
  FORMS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AO75a
Type of Appointment Checklist - Law Clerk
AO75b

Type of Appointment Checklist - Staff Attorney

AO78

Application for Judicial Branch Federal Employment

AO78a

United States Courts Appointment - Oath of Office

Background
Investigation Form
Background Investigation Required Information Form
EEO Reporting Form U.S. Court of Appeals - EEO Reporting Form
Self-Identification Form - Race/Ethnic, Gender and Disability
ELMO

ELMO Signature Form

Emergency Contact Form [internal] Emergency Contact Form: confidential and strictly for emergency purposes only.
FMS 2231

Fast Start Direct Deposit Form

I-9

Employment Eligibility Verification

SF 1152

Designation of Beneficiary [Unpaid Compensation of Deceased Civilian Employee]

SF 2809
Federal Employees Health Benefits Election Form SF2809
Federal Employees Health Benefits Election Form SF2809 Instructions
SF 2817

Life Insurance Election Form

TSP 1

Thrift Savings Plan Election Form

W-4 federal  

Federal Employee's Withholding Certificate Form

W - 4 state






 

• IL

IL Dept. of Revenue
Withholding Tax Form
 
• IN

IN Dept. of Revenue
Withholding Tax Form
 
• MO

MO Dept. of Revenue
Withholding Tax Form
 
• WI

WI Dept. of Revenue
Withholding Tax Form
   
  BENEFITS OVERVIEW (FJTN program) [not yet available ]
   
  • CHECKLISTS
  circuit executive staff
  deputy clerk
  law clerk
  library employee
  staff attorney
   
  CODE OF CONDUCT
   
  EQUAL EMPLOYMENT OPPORTUNITY PLAN AND EMPLOYMENT DISPUTE RESOLUTION
   
  HEALTH INSURANCE
  Explanation and Important Deadlines
  FEHB Guide
  Federal Employees Health Benefits Election Form SF2809
  Federal Employees Health Benefits Election Form SF2809 Instructions
  OPM: Health Benefits
  Plan Comparison Tool
   
  INSIDE THE FEDERAL COURTS 
   
  LEAVE PROGRAM
  Annual Leave
  ELMO
  FEFFLA
  FMLA
  Holidays
  Leave Chart
  Sick Leave
   
  LIFE INSURANCE
  Explanation and Important Deadlines
  Life Insurance Designation of Beneficiary Form
  Life Insurance Election Form
  OPM: FEGLI
  Order of Precedence
   
  OTHER LINKS
 
  Federation of Tax Administrators
  FEGLI: Federal Employees Group Life Insurance

FEGLI handbook

FEGLI designation of beneficiaries
  FEHB: Federal Employees Health Benefits

FEHB handbook
  FLTCIP: Federal Long Term Care Insurance Program
  J-Net: J-Net personnel forms
  OPM: Office of Personnel Management
   
W-4 federal
Federal Employee's Withholding Certificate Form
  IRS: Internal Revenue Service
   
W-4 state


IL: Illinois Department of Revenue
Illinois Withholding Tax Forms
  IN: Indiana Department of Revenue
Indiana Withholding Tax Forms
  MO: Missouri Department of Revenue
Missouri Withholding Tax Forms
  WI: Wisconsin Department of Revenue
Wisconsin Withholding Tax Forms
 
   
  RETIREMENT BENEFITS
  •Pamphlets (available on OPM website)
  CSRS Designation of Beneficiary
  FERS Designation of Beneficiary
  TSP: Thrift Savings Plan
  TSP
  TSP booklet
  TSP Designation of Beneficiary Form
  TSP Election Form
   
  SUPPLEMENTAL BENEFITS
  Federal Employee Dental and Vision Insurance Program
  FEDVIP
  The Federal Employee Dental and Vision Benefits Enhancement Act of 2004 requires OPM to establish arrangements under which supplemental dental and vision benefits will be made available to federal employees, retirees, and their dependents.

Employees must be eligible for the FEHB Program in order to be eligible to enroll in FEDVIP. It does not matter if they are actually enrolled in FEHB - eligibility is the key. Annuitants are eligible to enroll in FEDVIP no matter what their FEHB status is.
  Education
  Tuition Assistance Program
  FEEA Scholarship (Federal Employee Education & Assistance Fund
  Federal Judiciary Flexible Spending & Commuter Benefits
  • JNET: Flexible Spending Benefit Program:
http://jnet.ao.dcn/Benefits/Flexible_Benefit_Program.html
  • JNET: Commuter Benefit Program:
http://jnet.ao.dcn/Benefits/Commuter_and_Transportation.html
   
  [ Both of these websites are only available through the court's internal web site. ]


  FLTCP: Federal Long term Care Program
  FLTCP (Federal Long Term Care Insurance) Web Site
  Federal Judiciary Long Term Care Plan:
  CNA website [ available only through the court's internal website ] [(password: judiciaryltc)

You may also call CNA toll-free anytime at 1-877-512-4007 or TDD 1-800-955-8771 to request an enrollment kit. Call between 8:00 am and 6:00 pm (Eastern) Monday through Friday to speak to a benefits counselor. ]
   Long Term Disability Insurance
Federal First website: www.federalfirst.com
CSRS - Disability Retirment Facts
FERS - Disability Retirement Facts
   
  SUPPORT SERVICES
  Corporate Child Care Centers
  Infant Child Care - 312 / 427-3342
  Toddler Child Care - 312 / 886-0834
  Toddler Child Care - 312 / 353-8686
  EAP: Employees Assistance Program
  FECU: U.S. Federal Employees Credit Union (Chicago only)
  Federal Judiciary Flexible Spending & Commuter Benefits
  JNET: Flexible Benefit Program: SHPS web site 
[ available only through the court's internal web site ]
  Federal Occupational Health - Dirksen Federal Building
  Federal Employees Health Unit - Metcalfe and Dirksen Heath Centers
  JCK Fitness Center - Kluczynski Federal Building

 

 

 

 

 

 

 

 

 

 



 

last updated: 01/30/08