Congratulations on your appointment to the District of Connecticut. Below are the necessary forms we need to process your new appointment. Please begin by reading the Welcome Letter as it contains useful information that will assist you in completing the forms.
Be sure to complete all documents located in Section's A & B
of this web page and bring them to your scheduled HR orientation.
Please also review Section's C & D (specifically for FEGLI & TSP information which have automatic enrollments with premium deductions unless waived prior to EOD).
Please email firstname.lastname@example.org if you have questions about completing the forms. Please do not email these forms to us. You will need to bring the completed forms with you to your scheduled orientation meeting in New Haven, CT.
Please be aware that all new appointments are subject to passing an FBI background check and fingerprinting process.
Section A - Bring These Completed Forms With You To Your Scheduled New Appointment Orientation:
AO-78 Application for Judiciary Branch Federal Employment (complete only if not previously submitted)
AO-78B Voluntary Race/Ethnicity, Gender and Disability Identification (complete only if not previously submitted)
AO-197 Law Clerk Promotion Eligibility Checklist (ONLY for Law Clerks)
Form W-9 (ALL employees must complete as an "individual" for future expense reimbursement processing)
I-9 Form/Employment Eligibility Verification (NOTE: see the top of page 9 for specific forms of valid ID accepted)
SF-1199 Direct Deposit Sign-up Form (leave Section C blank)
SF-2817 Federal Employees Group Life Insurance Form (automatically enrolled with premium deductions for basic coverage unless waived)
SF-3102 Federal Employees Retirement System Beneficiary Form (for Clerk's Office & Career Law Clerk's ONLY)
Section B - Certification Pages Only for the Following Policies:
Judicial Conference Regulations (please complete, will receive brochure at orientation)
Section C - Supplemental Information for Choosing Optional Benefits:
Benefits Overview (must enroll within 60 days of hire or waive coverage if not electing)
Federal Employees Group Life Insurance (FEGLI) Booklet (automatically enrolled for basic with premiums withheld unless waived)
Thrift Savings Plan (TSP) (Term Law Clerk's are not eligible to participate; all others are enrolled at 3% of pay with premiums withheld per pay check unless waived)
TSP 3 Beneficiary Form (submit only after you receive your TSP enrollment package and account number via mail)
Vision and Dental Plans (must enroll within 60 days of hire)
Section D - Other Resources:
Annual Leave Accrual (where applicable if covered under the Leave Act)
Sick Leave Accrual (where applicable if covered under the Leave Act)