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Human Resources: New Employee Information

 

 

 

 

 

   
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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

AO78b Voluntary Race/Ethnicity, Gender, and Disability Identification
Background
Investigation Form
Background Investigation Required Information Form
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 144

Statement of Prior Federal Service

SF 2809
Federal Employees Health Benefits Election Form SF2809
SF 2817

Life Insurance Election Form

TSP 1

Thrift Savings Plan Election Form

TSP 1C
 

Thrift Savings Plan Catch-Up Contribution Election Form

w-4
federal
 
IRS: Internal Revenue Service

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
 
BENEFICIARY FORMS








 
SF 1152 Unpaid Compensation [SF 1152]
[SF 2808] CSRS Designation of Beneficiary [ SF 2808]
[SF 2823] Life Insurance Designation of Beneficiary [SF 2823]
[SF 3102] FERS Designation of Beneficiary [SF 3102]
[TSP 3] TSP Designation of Beneficiary [TSP 3]
   
  BENEFITS OVERVIEW (FJTN program) [not yet available ]
   
  • CHECKLISTS
  permanent staff
  law clerk
  staff attorney
   
  CODE OF CONDUCT
   
  EQUAL EMPLOYMENT OPPORTUNITY PLAN AND EMPLOYMENT DISPUTE RESOLUTION
   
  HEALTH INSURANCE
 

complete FEHB information: OPM (Office of Personnel Management): Health Benefits 

  Explanation and Important Deadlines
  Federal Employees Health Benefits Reference Materials
  FEHB Guides
  FEHB Handbook
  Federal Employees Health Benefits Election Form SF2809
  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 Election Form: SF 2817
  Life Insurance Designation of Beneficiary: SF 2823
  OPM: FEGLI
  Order of Precedence
   
  OTHER LINKS
 
  Federation of Tax Administrators
  FEGLI: Federal Employees Group Life Insurance

FEGLI handbook

FEGLI designation of beneficiary
  FEHB: Federal Employees Health Benefits

FEHB guide
  FLTCIP: Federal Long Term Care Insurance Program
  J-Net Forms Center: Human Resources and Benefit forms
OPM: Office of Personnel Management
W-4
federal


IRS: Internal Revenue Service

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
   
  RETIREMENT BENEFITS
  Pamphlets (available on OPM website)
  CSRS Designation of Beneficiary
  FERS Designation of Beneficiary
  TSP: Thrift Savings Plan
  TSP
  Booklet
  TSP Forms and Publications List
  TSP-1 Election Form
  TSP-1C Catch-Up Contribution Election Form
  TSP-3 Designation of Beneficiary Form
   
  SUPPLEMENTAL BENEFITS
  Federal Employee Dental and Vision Insurance Program
  FEDVIP
 


The supplemental Federal Employees Dental and Vision Insurance Program (FEDVIP) is available to eligible Judicial employees, retirees, and their eligible family members on an enrollee-pay-all basis. This program allows dental and vision insurance to be purchased on a group basis which means competitive premiums and no pre-existing condition limitations. Premiums for enrolled Judicial employees will be withheld from salary on a pre-tax basis.

Employees may enroll in a dental plan and/or a vision plan. Employees may choose to enroll in a plan for Self-only, Self-Plus_one, or Self and Family coverage. Eligible family members include an enrollee's spouse and unmarried dependent children under the age of 22, or if age 22 or older, incapable of self-support. The rules for family member's eligibility are the same as they are for the FEHB program.

Please visit the BENEFEDS website for more information and enrollment instructions.


  Education
  Tuition Assistance Program
  FEEA Scholarship (Federal Employee Education & Assistance Fund)
  Federal Judiciary Flexible Spending
  • JNET: Flexible Spending Benefit Program:
http://jnet.ao.dcn/Benefits/Flexible_Benefit_Program.html
   
  [ This website is 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 - 312/353-3796   [updated: 02/03/2014]
  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
  Federal Judiciary Benefits Program: https://judiciary.adp.com/Welcome/PortalLandingPage.aspx
[ 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: 06/09/2014