Most Popular Forms

401(k) Payroll Changes Participation Agreement
457 Payroll Changes Participation Agreement
State Employees Credit Union Payroll Deduction
2008 Federal W4
State of Georgia G4
Assistant District Attorney Application
Investigator Application
Secretary Application
Change of Personal Information
Georgia Hotel and Motel Tax Exemption
Travel Reimbursement (Excel) (Effective 4-1-08)
Motor Vehicle Reimbursement/Clarification (Effective 4-1-08)
Travel Reimbursement (Excel) (Use for travel before 4-1-08)
Motor Vehicle Reimbursement/Clarification (Use for travel before 4-1-08)
Membership/Dependent and Miscellaneous Update
Victim Impact Restitution Form
Employee Information Sheet

Administrative Forms

Assistant District Attorney Application
Investigator Application
Secretary Application
Change of Personal Information
Georgia Association of Solicitors-General Membership
Employee Information Sheet
Employment Eligibility Verification (I-9)


Fiscal Forms

Georgia Hotel and Motel Tax Exemption
Travel Reimbursement (Excel)(Eff. 2-1-07)
Travel Reimbursement (Eff. 2-1-07)
Motor Vehicle Reimbursement/Clarification (Eff. 2-1-07)
Motor Vehicle Assignment and Use Authorization
Monthly State Vehicle Reporting Form - for employees assigned to
drive a State vehicle


Payroll Forms

Direct Deposit
2008 Federal W4
State of Georgia G4
Designation of Outstanding Wages
State Employees Credit Union Payroll Deduction

Peach State Reserves Deferred Compensation Forms

401(k) Beneficiary Election
401(k) Payroll Changes Participation Agreement
401(k) New Enrollment or Re-Enrollment
457 Beneficiary Election
457 Payroll Changes Participation Agreement
457 New Enrollment or Re-Enrollment
Georgia Defined Contribution Application

Retirement System Forms

ERS Application for Refund of Contributions
ERS Change or Designation of Beneficiaries
GDCP Application for Refund of Contributions
GJRS Change or Designation of Beneficiaries
GJRS Membership Application
GJRS Spousal Benefit Coverage
ERS Membership Application
ERS Change of Address

State Health Benefits Plan Forms

2008 Health Insurance Rate Sheet
2008 Flexible Benefits Rate Sheet
Beneficiary Election – Life and Accidental Death & Dismemberment
Declination of Health Benefit Coverage
Dependent Student Status Information
Disability Certification
Enrollment Supplement for HMO – Primary Care Physician Designation
Flexible Benefits Program Qualifying Change in Status
Flexible Benefits Program Spending Account Claim Form
Medical Underwriting Evidence of Insurability
Membership/Dependent and Miscellaneous Update
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
Retirement/Surviving Spouse
SHPS Electronic Funds Transfer (EFT) – Flexible Spending Accounts
State of Georgia Dental Dependent Enrollment – United Concordia

Victims' Services Forms

Victim Impact Restitution Form