HUMAN RESOURCES
For more information about HR related topics, please login to the staff intranet.
Forms and Documentation for New Employee
New Employee Orientation 
Form W-4 
IRS Employee's Withholding Allowance Certificate
Form G-4
State of Georgia Employee's Withholding Allowance Certificate
Form I-9
Employment Eligibility Verification
GSEPS Information Brochure
For NEW employees hired on or after January 1, 2009
GSEPS 401(k) Opt-Out Form
For NEW employees cover under GSEPS who choose to DECLINE participation in the GSEPS 401(k) Plan
ERS Application for Membership
For REHIRES who retain ERS membership rights only. Please contact HR to verify retirement plan
eligibility
Direct Deposit Notification Form
Direct Deposit Form
Worker's Compensation Employee Handbook
Worker's Compensation Employee Acknowledgement
Employee Acknowledgement of Sexual Harassment Policy
- Sexual Harassment Policy
Employee Information and Emergency Contact
State Application for Employment
Georgia Defined Contribution Application for Membership
For part-time employees only. Effective 7/1/2010,
enrollment for NEW P/T employees will be automatic. NO membership form needed.
Georgia Defined Contribution Informational Brochure For part-time employees only.
Employee Assistance Program Brochure
Other Personnel Forms
Change of Address/Name Form
Family and Medical Leave Request form
Leave without Pay Request Form
State of Georgia Employee Grievance Form
- Employee Grievance Procedure
Designation of Beneficiary for Compensation
ERS Change of Beneficiary
ERS Group Term Life Insurance Continuation Form
State Health Benefit Plan
SHBP New Hire Enrollment Form
SHBP Change and Miscellaneous Update Form
Plan Information
(you will be directed to the SHBP website)
Eligibility Forms
(you will be directed to the SHBP website)
Claims Forms
(you will be directed to the SHBP website)
COBRA Information
(you will be directed to the SHBP website)
State of Georgia Flexible Benefits Program
To enroll or make changes to your Flexible Benefits, please go to the GaBreeze Flexible Benefits website at www.gabreeze.ga.gov or call the GaBreeze Benefits Center at 1-877-342-7339, Monday to Friday, 8:00 a.m. – 5:00 p.m., excluding holidays.
Employee Quick Reference Guide
2010 Flexible Benefits At a Glance
Employees' Retirement System Pension Plan (ERS)
&
Georgia State Employees' Pension and Saving Plan (GSEPS)
&
Georgia Defined Contribution Plan
ERS & GSEPS Handbook NEW
For full-time employees
ERS Information Brochure
For employees cover under ERS
GSEPS Information Brochure
For employees cover under GSEPS
GSEPS Opt-In Form
For employees cover under ERS who electe to opt-in to GSEPS. Alert: the decision is irrevocable!
Georgia Defined Contribution Informational Brochure For part-time employees
Peach State Reserves
To enroll or make changes to your 401K or 457 Plan, please visit the Peach State Reserves website at https://mygapsr.csplans.com. You may also call the Peach State Reserves Information Line at 1-866-MY-GA-PSR (1-866-694-2777), Monday – Friday, 8:00 a.m. to 8:00 p.m.
State Employees Credit Union
Forms
Membership Application
Payroll Deduction Authorization
Checking Account Application
ATM or Debit Card Application
Change of Address Form
For SECU account only
Information
New Member Checklist
Membership Benefits
Membership Information
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