You are here
Full Time w/Benefits New Hire Forms
The following are forms you need to fill out and bring with you at orientation first day.
|New Employee Information||Create employee profile||Complete the name through prior VRS service credit fields|
|Direct Deposit Form||Provide account info to deposit paycheck||Attach a voided check or other documentation that shows both account and routing numbers|
|Federal Tax Form||Provide federal tax withholding info||Remember to complete the bottom half of the form and signature line|
|State Tax Form||Provide state tax withholding info||Remember to complete the bottom half of the form and signature line|
|I-9 Form||Provide proof of employment eligibility||
Must bring passport or 2 proofs of ID at orientation first day
View list of acceptable documents
|Child Support Withholding Form||Provide child support withholding info||Remember to check the applicable status and signature line|
|Handbook Receipt||Sign handbook receipt||View Employment Policies and Procedures Manual|
|Benefits Enrollment Form||
Enroll in medical, dental, and vision
|Remember to attach documentation on dependents (ex. marriage license-adding spouse, birth certificates-adding children)|
|Health Management Questionnaire||To sign up for the Health Management Program||Must be in the Health Management Program to be eligible for vision coverage|
|VRS Beneficiary Form A||To designate beneficiaries for pension plan and life insurance||Remember to complete both pages and include how much to designate, date of birth and social security number of beneficiary|
|VRS Beneficiary Form B||To designate beneficiaries for defined contribution||Remember to complete all pages and include how much to designate, date of birth and social security number of beneficiary|
|Optional Life Form||Enroll in additional life insurance for self, spouse, and children||Remember to check the applicable boxes on who to cover and what option if enrolling. If not enrolling, signed to waiver.|
Enroll in healthcare, dependent care, and parking FSA Learn more
Select FSA account(s) and amount elected (note the maximums set for each account). Do not need to complete if not signing up.
If you have any questions prior to your orientation date, please do not hesitate to call Human Resources at (434) 455-4200. We are glad you’ve made the decision to work with us and we’re glad to help!