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Welcome to Fairfax County Government! We are happy you have decided to
make Fairfax County your employer of choice, and we welcome you to our
workforce. To speed up the onboarding process and prepare you for your
first day, we have provided you access to many of the forms that you will
need to complete directly from our Internet site. Many of these forms are
"fillable," so you can type in your information and print them
on-line to save time and ensure the information is readable. This
"New Hire – Onboarding" page provides all the forms required for
new hires, as well as benefit enrollment forms for those who are Benefits Eligible. Unless otherwise instructed by
the hiring agency, submit your forms to your agency's HR/Payroll contact.
Filling Forms with Style - Brochure
Note: The forms below are intended for use only by new hires or current Fairfax County employees
Adobe Acrobat Reader version 6.0 or later is required to view the pdf files below, if you do not have the required Adobe Acrobat Reader, click the icon to download it for free.
Required Forms for All New Employees
- Child Support Disclosure Form
- Direct Deposit Enrollment Information
- Direct Deposit Authorization Agreement
- Employment Eligibility Verification (Form I-9)
- Employee Withholding - Federal (Form W-4)
- Please pick the appropriate State Tax Form.
Benefits Eligible
If you are benefits eligible, in the next few weeks you must make
important and binding elections regarding the benefits coverage you
desire. Please click here for Employee
Benefits Summary.
The County's benefits programs are an important part of your total
compensation, and provide additional financial protection for you and
your family. However, enrollment in these programs is NOT
automatic. You must take action by certain dates to enroll in the
benefits programs of your choice. Please click
here for the Enrollment Deadlines.
Please click here to view the 2009 New Employee Orientation schedule.
Benefits Plans/Forms
-
Health,
Dental and Flexible Spending Account Enrollment Form
Forms required for enrolling dependents age 19 or older:- BlueChoice POS/BluePreferred PPO Student Certification Form
- BlueChoice POS/BluePreferred PPO Disabled Child Certification For
- CIGNA Student Certification Form
- CIGNA Disabled Child Certification Form (Form is not editable. Please print and complete.)
- Kaiser Student Certification Form
- Kaiser Disabled Child Certification Form
- Deferred Compensation
- Long Term Disability Enrollment form
-
Group Term Life Insurance
- Enrollment Form
- Beneficiary Election Form (Form is not editable. Please print and complete.)
- Evidence of Insurability Form (Form is not editable. Please print and complete.)
-
Retirement Plans
Fairfax County administers three defined benefit retirement systems:- The Fairfax County Employees' Retirement System
- The Fairfax County Police Officers Retirement System
- The Fairfax County Uniformed Retirement System
For detailed information on the retirement plans, visit their web page at http://fairfaxcounty.gov/retirement
Additional Forms
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