Temporary Appointment

New EPA employees need to complete the following forms to set up their personnel record, establish benefits and generate payroll information. Bring the original forms (and in some instances extra copies) with you to Orientation. Use black ink and make a copy of each form for your own files. (Bookmark this page in your browser, so that you can easily return to it after completing and printing out each form.)

Form/Title	Remarks
Acknowledgement of Student Temporary Employment (PDF 96 KB)	If you have been hired by EPA under the Student Temporary Employment Program (STEP), you will need to complete this form. Print your full name (no initials) in the blank provided after the word "I," and sign and date the bottom of the page. Your Human Resources Specialist will complete the other information in the form.
Appointment Affidavits (PDF 348 KB)	Print your full name (no initials) on the third line, after the word "I". This is the document with which you will take your Oath of Office; the rest of the blanks will be filled in after you have been sworn in at Orientation.
Declaration for Federal Employment, OF-306 (PDF 93 KB)	This form will be used to determine your acceptability for Federal employment. Under Item 6, day phone number, enter the phone number for your Supervisor as listed in our Confirmation of Employment Letter. Sign Item 17A but do not sign Item 17B. Item 17B will be signed after you have taken the Oath of Office at Orientation. Bring both the original signed form and a copy of it to Orientation.B
Employment Eligibility Verification, Form I-9 (PDF 246 KB)	This form is used to verify your citizenship and eligibility to work in the United States. Complete Section 1, sign and date the form. Refer to the List of Acceptable Documents on the back of the form before completing Section 2. If you have any document listed in List A, you need only complete the information for List A. Name the document, provide its document number, and the expiration date, if any. (A frequently-cited document is a current or expired U.S. Passport.) If you do not have any document from List A, select one from List B and List C, and provide the same information. Be sure to bring the documents you have listed on this form with you for verification during the Orientation Briefing.
FastStart Direct Deposit Enrollment or Exemption Application, FSM-2231 (PDF 104 KB)	EPA requires that employees receive payroll payments by direct deposit. Complete this form to allow for the electronic transfer of your paycheck, travel reimbursements, etc., into your checking or savings account at your financial institution.
Race and National Origin Identification, SF-181 (PDF 99 KB)	Fill in the information requested at the top of the form. Read the introductory information, and check off the category which most closely describes your heritage.
Self-Identification of Handicap, SF-256 (PDF 191 KB)	Read the sections in the form entitled "Definition of a Handicap" and "To the Employee," and select the code which most closely describes you, entering the code at the top of the page.
Statement of Prior Federal Service, SF-144 (PDF 214 KB)	Complete this form only if you have prior Federal civilian or military service. Your length of service affects your leave and retirement benefits.
Tax Withholding Form—District of Columbia (PDF 217 KB)	The "Employee Withholding Allowance Certificate" is the D-4, District of Columbia form. Complete, sign and date this form only if you are a resident of the District of Columbia, or will have become one by the time you have begun working at EPA.
Tax Withholding Form—Federal (PDF 52 KB)	The "Employee's Withholding Allowance Certificate" is the Federal tax withholding form, W-4. It is used to determine the correct amount of Federal income tax to be withheld from your biweekly earnings based on the number of exemptions that you claim. Use the Worksheet to determine the number of withholding allowances that you are entitled to claim. You need to complete, sign and date this form.
Tax Withholding Form—Generic State (PDF 167 KB)	If you are not a resident of the District of Columbia, Maryland or Virginia -- or wish to retain residency in your home state - you must fill out a published form or an Internet version of your State's Withholding Exemption Certificate. If you are not sure whether your state has a withholding exemption certificate, a useful place to visit is the Federation of Tax Administrators website. If none exists, you should complete, sign and date this generic form.
Tax Withholding Form—Maryland (PDF 45 KB)	The "Employee's Maryland Withholding Exemption Certificate" is the Maryland Form, MW-507. Complete, sign and date this form only if you are a resident of the State of Maryland, or will have become one by the time you have begun working at EPA.
Tax Withholding Form—Virginia (PDF 13 KB)	The "Employee's Virginia Income Tax Withholding Exemption Certificate" is the VA-4 form. Complete, sign and date this form only if you are a resident of the Commonwealth of Virginia, or will have become one by the time you have begun working at EPA.

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Temporary Appointment

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