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    Part Time w/Benefits New Hire Forms

    The following are forms you need to fill out prior to your first day orientation. Please click on the links to be directed to the electronic forms.

    PAYROLL FORMS

    This packet includes:
    General Employee Information
    Direct Deposit
    Federal Tax
    State Tax
    I-9
    Child Support Withholding

    You will need:
    Driver's License
    Voided Bank Check
    Birth Certificate or Passport
    Social Security Card or Passport

    BENEFIT FORMS

    This packet includes:
    Benefits Enrollment
    Flexible Spending

    If adding dependents you will need to provide:
    Social Security Numbers
    Marriage License for Spouse
    Birth Certificates for Children

    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!


    Human Resources
    900 Church Street, Lynchburg VA 24504
    human.resources@lynchburgva.gov
    (434) 455-4200
    fax (434) 845-4304

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