Please review the new hire information below. Bring your completed forms, supporting documentation, and any questions to your orientation appointment.
If you have not yet scheduled an orientation appointment, please contact Vickie Florence at 703-619-8010 or .
a) Download and print the New Hire Packet (PDF) in its entirety including all forms, instructions and benefit summaries; or
b) Download and print the required forms only, using the links provided below.
Employment and Tax Forms
- ACPS Employee Record Form
- Form VA-4: Virginia Department of Taxation Personal Exemption Worksheet
- Form W-4: Employee's Withholding Allowance Certificate
- Form I-9: Employment Eligibility Verification
- TB Test Form (Chest X-ray or Tine Test)
- Criminal Record Check and Child Protective Services Central Registry Search Payment Authorization
- Authorization to Release Information
- Payroll Direct Deposit
- Employee Responsible Use of Policy Agreement for Computer Systems
Benefit Enrollment Forms
- Health Insurance Enrollment Form
- Flexible Spending Account Enrollment Form
- Beneficiary Designation Form - Virginia Retirement System
- Beneficiary Designation Form - Principal Financial Group
- Optional Life (VRS) Enrollment/Waiver Form (Minnesota Life)
- Optional Life Evidence of Insurability Form
- Long Term Disability Buy-Down Enrollment/Waiver Form (Madison National Life)
- Long Term Disability Buy-Down Evidence of Insurability Form
- Purchase of Prior Service Application (Virginia Retirement System)