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New Employee Orientation Forms

Payroll Forms

• Federal Taxes
• Virginia Taxes
• Other Taxes:
• DC
• Maryland
• West Virginia 
• Direct Deposit Authorization
• Name and SSN Change Form

Benefits Forms

Dependent Eligibility Definitions & Required Documentation for Coverage Under FCPS Health Plans

• Medical & Dental Plan Enrollment & Change Form

• Flexible Spending Account (FSA) Enrollment/Change Form

For full-time, monthly paid instructional, administrative and support employees

• VRS Retirement/Life Beneficiary
  • Mandatory benefit--enrollment automatic. Only complete this beneficiary form if you want payment to be made in a method other than the order of precedence established by law (as listed on page 3 of the form).
• ERFC Retirement Beneficiary Designation
  • Mandatory benefit--enrollment automatic. An e-mail confirmation of your enrollment in the ERFC Retirement system will be sent to you after your first paycheck. Then, go online as instructed and establish your own ERFCDirect account for secure access to your personal retirement information. You will then designate beneficiaries for your retirement account on ERFCDirect.

For full- and part-time custodial, food service, maintenance, and transportation employees; and less-than-full-time educational, administrative, and support employees

• FCERS Retirement Plan Election(for full and part-time custodial, food service, maintenance, and transportation employees and less-than-full-time educational, administrative, and support employees)
• FCERS Group Term Life Insurance(for full and part-time custodial, food service, maintenance, and transportation employees and less-than-full-time educational, administrative, and support employees)

 For a complete list of all benefits forms, go to Benefit Forms for Employees.

Licensure Forms & Publications

• Please visit the Licensure page to determine the appropriate forms for your situation.