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Human Resources: New Employee Information

 

 

 

 

 

 

   
  FORMS   Please see the Forms page for details on each form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AO75a *
Term Chambers Law Clerk Appointment and Leave Certification
AO75b *

Staff Attorney Appointment Certification

AO78 *

Application for Judicial Branch Federal Employment

AO78A *

United States Courts Appointment - Oath of Office

form AO 78B
EEO Reporting Form
Voluntary Race/Ethnicity, Gender, & Disability Identification form
AO80 *

Clerks' and Deputy Clerks' Oath

AO 0162 Election to Participate in the Judicial Survivors’ Annuity System (JSAS)
Background
Investigation Form
Background Investigation Required Information Form
Emergency Contact Form

Emergency Contact Form

FMS 2231

Fast Start Direct Deposit Form

I-9

Employment Eligibility Verification

SF 144

Statement of Prior Federal Service

SF 1152

Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee

SF 2808

• Designation of Beneficiary - CSRS
SF 2809

Please visit the Judiciary Benefits Center to make your health insurance elections.
SF 2817
Please visit the Judiciary Benefits Center to make your life insurance elections.
SF 2823

Designation of Beneficiary - Federal Employees Group Life Insurance Program (FEGLI)

SF 3102 • Designation of Beneficiary - FERS
TSP 1



Thrift Savings Plan Election Form

Please visit the Judiciary Benefits Center to make your TSP elections.
TSP 1C


Catch-up Contribution Election Form

Please visit the Judiciary Benefits Center to make your TSP elections.
TSP 3
Thrift Savings Plan Designation of Beneficiary
TSP 25 Automatic Enrollment Refund Request
W-4 federal  

Federal Employee's Withholding Certificate Form

W - 4
state










• IL

IL: Illinois Department of Revenue
Illinois Withholding Tax Forms
 
• IN

IN: Indiana Department of Revenue
Indiana Withholding Tax Forms
 
• MO

MO: Missouri Department of Revenue
Missouri Withholding Tax Forms
 
• WI

WI: Wisconsin Department of Revenue
Wisconsin Withholding Tax Forms
   
  BENEFITS OVERVIEW (FJTN program) [not yet available ]
   
  • CHECKLISTS
  Judge
  Chambers Law Clerk
  Permanent Staff
  Staff Law Clerk
   
  CODE OF CONDUCT
   
  EQUAL EMPLOYMENT OPPORTUNITY PLAN AND EMPLOYMENT DISPUTE RESOLUTION
   
  HEALTH INSURANCE
  Explanation and Important Deadlines
  OPM (Office of Personnel Management): Health Benefits
  Federal Employees Health Benefits Election -Form SF2809
  Health Benefits Designation of Beneficiary - Form SF 2823
  Federal Employees Health Benefits Reference Materials
  Federal Employees Health Benefits Plan Information
  Plan Comparison Tool
   
  INSIDE THE FEDERAL COURTS 
   
  LEAVE PROGRAM
  Annual Leave
  FEFFLA
  FMLA
  Holidays
  Leave Chart
  Sick Leave
   
  LIFE INSURANCE
  • FEGLI: Federal Employees Group Life Insurance

• FEGLI handbook

•  FEGLI designation of beneficiary
  • Life Insurance Election Form: SF 2817
  • Life Insurance Designation of Beneficiary: SF 2823
  • OPM: FEGLI
   
  OTHER LINKS
 
  FEDERATION OF TAX ADMINISTRATORS:
[links to State Tax Forms-USA]:
https://www.taxadmin.org/state-tax-forms
   
W-4 federal
Federal Employee's Withholding Certificate Form
   
W-4 state











• IL

IL: Illinois Department of Revenue
Illinois Withholding Tax Forms
 
• IN

IN: Indiana Department of Revenue
Indiana Withholding Tax Forms
 
• MO

MO: Missouri Department of Revenue
Missouri Withholding Tax Forms
 
• WI

WI: Wisconsin Department of Revenue
Wisconsin Withholding Tax Forms
  OPM: Office of Personnel Management
  TSP: Thrift Savings Plan
   
  RETIREMENT BENEFITS
  •Pamphlets (available on OPM website)
  • CSRS Designation of Beneficiary - form sf 2808
  • FERS Designation of Beneficiary - form sf 3102
   
  TSP
  TSP Booklet
  TSP Forms and Publications
  Judiciary Benefits Center - Please see the Retirement area of this web site for links to more detailed TSP information.
  TSP-3 Designation of Beneficiary Form
  TSP-25 Automatic Enrollment Refund Request Form
  TSP website
   
  SUPPLEMENTAL BENEFITS
  Dental
   Disability Insurance
CSRS - Disability Retirment Facts
FERS - Disability Retirement Facts
  Education
  Tuition Assistance Program
  FEEA Scholarship (Federal Employee Education & Assistance Fund
  Federal Judiciary Flexible Spending & Commuter Benefits
  Judiciary Benefits Center web site
  FLTCP: Federal Long term Care Program
  FLTCP (Federal Long Term Care Insurance) Web Site
   
  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
FOH:  https://foh.psc.gov
  FECU: U.S. Federal Employees Credit Union (Chicago only)
  Federal Employees Health Unit- Dirksen Federal Building
  Federal Employees Health Unit - Metcalfe Heath Center
  JCK Fitness Center - Kluczynski Federal Building
   
   
   
   

 

 

 

 

 

 

 

 

 

 



last updated: 1/7/2021