Forms for New Hire Employees

Authorization for Direct Deposit of Pay	ADM 4280
Authorization for Payroll Deduction
Declaration Regarding Material Assistance/Non-Assistance to a Terrorist Organization	HLS 0037
EEO-DNR New Hire Form	DNR 1201
EEO-State New Hire Form
E-Pay Form
Employee Statement for Determination of Municipal Tax Liability	ADM 0328
Employee's Withholding Allowance Certificate	W-4
Employee's Withholding Exemption Certificate - Ohio Dept. of Taxation	Form IT-4
Employment Eligibility Verification - U.S. Department of Justice	Form I-9
Health Care Enrollment Form	ADM 4717
New Hire Reporting Form	JFS 07048
Ohio Public Employees Retirement System - Personal History Record	Form A
Pre-Hire Review	ADM 4174
Prior Service Certification Form
Ohio Civil Service Application
Social Security Statement	SSA 1945
Supplemental Employment Agreement	ADM 4288
Supplemental Nepotism Statement	ADM 4173
Unclassified Acknowledgement

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