How do I.......?
- Change My Name/Address?
- Submit Paperwork for Workers' Compensation Claim?
- Change my Tax Deductions?
- Request Family Medical Leave?
- Request Educational Aid?
| Change My Name/Address |
Click here to download the change of name/address form.
Submit the completed form to the Human Resource Office. Name changes
can only be made with presentation of a new social security card.
|
| Change beneficiaries |
Click
here to
download the beneficiary change form for the Virginia Retirement System.
Click
here to download the beneficiary change form for life insurance. |
| Participate in Direct Deposit (Required) |
Complete form
and submit to Human Resources with voided check attached. |
| Get an EPPI Card in lieu of Direct Deposit |
Complete
form and submit to Human Resources. For an explanation of the EPPI
Card, click here. |
| Submit Paperwork for Workers' Compensation Claim |
Use the forms below for workers' compensation claim
First
Report of Accident
DHRM Policy |
| Change my Tax Deductions |
Use the forms below to change your tax deductions.
Print the forms and submit to the Human Resource Office.
W-4 (Federal Tax
Form)
VA-4 (State of Virginia Tax Form) |
| Buy back Prior Service |
Click here to download
form to buy back part-time state service or refunded VRS service. |
| Request Family Medical Leave |
Use the forms below, obtain necessary approvals and
certifications and submit to the Human Resource Office.
FMLA
Forms |
| Request Educational Aid |
Complete the form below, obtain necessary approvals and
submit to the Human Resource Office.
Educational Aid Request Form
Educational Aid Policy |
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Distance Education
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