Forms
Most Popular Forms
Request an Exemption to the Hiring Freeze (DAs only)
401(k) Payroll Changes Participation Agreement
457 Payroll Changes Participation Agreement
State Employees Credit Union Payroll Deduction
W-4 Federal Withholding Allowance
G-4 State Withholding Allowance
Assistant District Attorney Application
Investigator Application
Secretary Application
Georgia Hotel and Motel Tax Exemption
Travel Reimbursement (Excel) (Effective 01-01-11)
Out of State Travel Authorization
Motor Vehicle Reimbursement/Clarification (Effective 01-01-11)
Victim Impact Restitution Form
Employee Information Sheet (PDF)
Employee Information Sheet (This editable WORD file is very large)
Personnel Action Form
SHBP New Enrollment/Transfer Form
SHBP Change and Miscellaneous Update Form
Eligibility for Reimbursement of Expenses at PAC Sponsored Training Events
Hiring Freeze Exemption Form
Request an Exemption to the Hiring Freeze (DAs only)
New Hire Forms Checklist
New Employee Welcome Letter
Employee Information Sheet
I-9 Employment Eligibility Form
W-4 Federal Withholding Allowance
G-4 State Withholding Allowance
Direct Deposit
GSEPS Handbook
GSEPS 401K Opt Out Form
GDCP New Hire Letter (hourly new hires only)
JRS Membership Application (district attorneys only)
JRS Spousal Benefit Coverage (district attorneys only)
Designation of Outstanding Wages
Selective Service Verification (Male applicants between the ages of 18-26)
Drug Custody Form (see your office manager)
Workers' Compensation Acknowledgement Form
SHBP New Enrollment/Transfer Form (required if you elect health coverage)
SHBP Declination of Health Insurance (required if you decline health coverage)
2012 New Enrollee Decision Guide (Health)
2012 State Health Benefit Plan Rate Sheet
2012 Flexible Benefits Enrollment Booklet (Flexible Benefits)
2012 Flexible Benefits Rate Sheet
Flexible Benefits Enrollment (All Flexible Benefits forms, including beneficiary forms must be filled out online or call 1-877-342-7339)
Georgia United Credit Union Benefits Brochure
Georgia United Credit Union Website
Administrative Forms
Assistant District Attorney Application
Assistant District Attorney Oath of Office
Assistant District Attorney Appointment Order
Investigator Application
DA Investigator Oath of Office
DA Investigator Appointment Order
DOL Separation Notice
Employee Information Sheet (PDF)
Employee Information Sheet (This editable WORD file is very large)
Employment Eligibility Verification (I-9)
Georgia Association of Solicitors-General Membership
Personnel Action FormSecretary Application
Fiscal Forms
Georgia Hotel and Motel Tax Exemption
Travel Reimbursement (Excel) (Effective 01-01-11)
Motor Vehicle Reimbursement/Clarification (Effective 01-01-11)
Motor Vehicle Assignment and Use Authorization
Monthly State Vehicle Reporting Form - for employees assigned a state vehicle
Training Forms
Out of State Travel Authorization
Legal Forms/Letters
Form Letter: First Notice of Welfare Fraud Violation (2011)
Form Letter: Second Notice of Welfare Fraud Violation (2011)
Payroll Forms
Direct Deposit
W-4 Federal Withholding Allowance
G-4 State Withholding Allowance
Designation of Outstanding Wages
State Employees Credit Union Payroll Deduction
2010 Payroll Calendar
2011 Payroll Calendar
Payroll Calendar Tidbits
Hourly Time Sheets without Formulas (for completing by hand)
Hourly Time Sheets with Formulas (for completing by computer)
Peach State Reserves Deferred Compensation Forms
All Peach State Reserves Deferred Compensation Information
Retirement System Forms
ERS Handbook
ERS Application for Refund of Contributions
GDCP New Hire Letter (hourly new hires only)
GDCP Application for Refund of Contributions
JRS Handbook 2009
JRS Membership Application
JRS Change or Designation of Beneficiaries
JRS Spousal Benefit Coverage
JRS Spousal Benefit Change Form
GSEPS Handbook
GSEPS Opt In Form
GSEPS 401K Opt Out Form
GSEPS Application for Refund of Pension Contributions
Peach State Reserves Annual Leave Agreement FormRetirement/Surviving Spouse
State Health and Flexible Benefits Plan Forms
2012 New Enrollee Decision Guide (Health)
2012 State Health Benefit Plan Rate Sheet
2012 Flexible Benefits Enrollment Booklet (Flexible Benefits)
2012 Flexible Benefits Rate Sheet
Declination of Health Benefit Coverage
Disability Certification
Notification of Return From Leave Without Pay
Request to Continue Health Benefits During Leave of Absence Without Pay
Retirement Benefit Options - Taking Coverage With You When You Leave
SHBP New Enrollment/Transfer Form (required if you elect health coverage)
SHBP Discontinuation of Health Benefit Plan
SHBP Change and Miscellaneous Update Form
SHPS Electronic Funds Transfer (EFT) - Flexible Spending Accounts
Flexible Benefits Enrollment (All Flexible Benefits forms, including beneficiary forms must be filled out online or call 1-877-342-7339)
Path 2 College 529 Application (Optional College Savings Plan)
Peachcare FAQ
Cigna Biometric Screening Form
UHC Biometric Screening Form
2012 Biometric Screening Events
GaBreeze -Flexible Benefits
GaBreeze Poster
GaBreeze Quick Reference Guide
GaBreeze Memorandum
Workers' Compensation Forms
WC Bill of Rights (to be displayed in office)
WC Fraud Notice (to be displayed in office)
WC/MCO at a Glance (to be displayed in office)
Supervisor Reporting Instructions
Incident Only Notice (When no immediate injury or no treatment needed beyond first aid)
Employee's Report of Injury
Witness Report of Injury
Victims' Services Forms
Victim Impact Restitution Form
DA Victim Advocate Appointment Order
SG Victim Advocate Appointment Order
Victim Impact Statement (revised 2010)
Suggested Rights Statement
JQC Referral Packet
JQC Referral Letter Template
