Employment Forms
All new employees must complete the applicable employment, benefits, and tax forms prior to reporting to duty. These forms are in addition to any forms requested by your onboarding Human Resources Specialist in your Official Employment Offer letter. Unless otherwise specified by your onboarding Human Resources Specialist, the following forms should be completed through FDIC online onboarding system.
- Appointment Affidavits (SF-61) (Do not sign this document until instructed to do so at orientation.)
- Declaration for Federal Employment (Form OF-306)
- Designation of Beneficiary Form (SF-1152)
- Direct Deposit Sign-Up Form (SF-1199A)
- Employee Address (Form AD-349)
- Employment Eligibility Verification (Form I-9)
- Employee's Withholding Certificate (Form W-4)
- Ethnicity and Race Identification (SF-181)
- Employee Emergency Contact Record (Form FDIC 2000/01)
- Self-Identification of Disability (SF-256)
- Statement of Prior Federal Service (SF-144)
- For employees in the Headquarters offices who reside outside of Washington, D.C.:
Certificate of Nonresidence in the District of Columbia (Form D-4A)
State Tax Forms
State tax withholding forms (or exemption certificates) vary from state to state. Below is a list of states that require state tax withholding forms. Please follow the instructions provided by your onboarding Human Resources Specialist for completing and submitting the applicable state tax form(s). To locate or learn more your state’s tax forms, you may visit: Federation of Tax Administration (taxadmin.org)
- Alabama (A4)
- Arizona (A-4)
- Arkansas (AR4EC)
- California (DE 4)
- Connecticut (CT-W4)
- District of Columbia (D-4)
- Georgia (G-4)
- Hawaii (HW-4)
- Illinois (IL-W-4)
- Indiana (WH-4)
- Iowa (IA W-4)
- Kansas (K-4)
- Kentucky (K-4 42A804)
- Louisiana (L-4, R-1300)
- Maine (W-4ME)
- Maryland (MW507)
- Massachusetts (M-4)
- Michigan (MI-W4)
- Mississippi (Form 89-350)
- Missouri (MO-W4)
- New Jersey (NJ-W4)
- New York (IT-2104)
- North Carolina (NC-4)
- Ohio (IT-4)
- Oklahoma (OK-W-4)
- Oregon (OR-W-4)
- Pennsylvania (REV-419)
- Rhode Island (RI W-4)
- Vermont (W-4VT)
- Virginia (VA-4)
- West Virginia (WV/IT-104)
- Wisconsin (WT-4)
The following states accept the Form W-4, Employee’s Withholding Certificate, for both Federal and state tax withholding purposes.
- Colorado
- Delaware
- Idaho
- Minnesota
- Montana
- Nebraska
- New Mexico
- North Dakota
- South Carolina
- Utah
The following states do not require state tax withholding forms.
- Alaska
- Florida
- Nevada
- New Hampshire
- South Dakota
- Tennessee
- Texas
- Washington
- Wyoming
Relocation Forms (if applicable)
The FDIC offers eligible new hires certain relocation benefits based on the vacancy announcement and satisfaction of FDIC eligibility criteria, including a distance test. When relocation benefits are offered under a vacancy announcement, management at the relocating employee’s new official duty station will provide FDIC’s Travel Services Section with documentation authorizing the relocation of the new employee. Documentation includes the Agreement to Remain in Service Form (FDIC 2530/08A), signed by the relocating employee, and the Official Notification of Relocation Form (FDIC 2530/08B) signed by the FDIC approving official with delegated authority. The Travel Services Section reviews the documentation to affirm that the eligibility criteria have been met. Once deemed eligible, the employee will be enrolled into the Relocation Program and begin the relocation process. The required aforementioned forms should be provided to the eligible employee by their onboarding Human Resources Specialist or divisional Administrative Officer.
- Agreement to Remain in Service Form (FDIC 2530/08A)
- Official Notification of Relocation Form (FDIC 2530/08B)