New Employee Orientation Pages

Consumer Financial Protection Bureau

Before You Report

Here you will find information and links necessary for us to process your appointment, for you to receive your first paycheck and for you to finalize necessary legal documents for Federal employment at CFPB. Review and complete them according to the directions below. In most cases, you will print and sign a copy to bring on your first day. Read more information about the collection of demographic information

  1. Employment Eligibility Verification (I-9)
  2. Direct Deposit Sign-Up Form (SF-1199A)
  3. Employee's Withholding Allowance Certificate (W-4)
  4. State Tax Withholding Form
  5. Certificate of Non-residence in the District of Columbia
  6. Employee Address (AD-349)
  7. CFPB Marital Status Form
  8. Ethnicity and Race Identification (SF-181)
  9. Self Identification of Disability (SF-256)
  10. Statement of Federal Service
  11. Uniform Service Status Code
  12. CFPB Employee Emergency Information Form
  13. Verification of a Military Retiree's Service in Non-War Time Campaigns or Expeditions (SF-813)

Forms for All New Employees:

Employment Eligibility Verification (I-9)
Purpose: To verify your citizenship and eligibility to work in the United States.
Instructions: Complete Section 1. Print one copy and sign and date the form. On your first day of work, you will be required to provide sufficient proof of citizenship. Refer to the back of this form for a list of acceptable documentation
PLEASE NOTE: As of July 1, 2010, certified Puerto Rico birth certificates issued prior to July 1, 2010 will be invalid and unacceptable for Form I-9 purposes.

Direct Deposit Sign-Up Form (SF-1199A)
Purpose: To identify the financial institution where your biweekly earnings will be deposited through electronic funds transfer.
Instructions: Read and complete the form in type, print one copy, and sign the form. You must fill out this form by typing the information. In addition, please submit a copy of a voided check with the completed form.

Employee's Withholding Allowance Certificate (W-4 Form)
Purpose: To determine the correct amount of Federal income tax to be withheld from your biweekly earnings based on the number of exemptions you claim. Required by the Internal Revenue Service (IRS).
Instructions: First, use the Personal Allowances Worksheet to help you determine the number of withholding allowances that you are entitled to claim. Then, complete the W-4 Form, print a copy, and sign and date the form.
NOTE: If you are a resident of Colorado, Delaware, Idaho, Kansas, Minnesota, Montana, Nebraska, New Mexico, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, or Utah, we will use your W-4 declarations for both your Federal and State taxes. If you would like for your State tax withholding allowances to be different from your Federal allowances, you must complete two W-4 forms. Please label the top of the W-4 you wish to use for State tax purpose, "State Tax."

State Tax Withholding Form
Purpose: To determine the correct amount of State income tax to be withheld from your biweekly earnings based on the number of exemptions you claim.
Instructions: Locate the appropriate form for your state/district of residence. Complete, print, sign and date one copy.

Not required for residents of Alaska, Florida, Nevada, South Dakota, Texas, Washington, and Wyoming. If you are a resident of Colorado, Delaware, Idaho, Kansas, Minnesota, Montana, Nebraska, New Mexico, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, or Utah, see the note under the W-4 Form above.

Certificate of Non-residence in the District of Columbia (D-4A)
Who Submits: All employees who work in the District of Columbia but are not residents of D.C.
Purpose: To certify non-resident status in the District of Columbia for tax purposes.
Instructions: Print one copy, complete, sign and date.

Employee Address (AD-349)
Who Submits: All new employees.
Purpose: This form is used to designate your official mailing/residence address so you can receive important mailings.
Instructions: Read and complete ONLY sections 1-7. Print one copy and sign the form.

CFPB Marital Status Form
Who Submits: All new employees.
Purpose: This form is used by AON Hewitt for retirement purposes.
Instructions: Read and complete. Print one copy and sign the form.

Ethnicity and Race Identification (SF-181)
Purpose: To collect statistical information on the composition of the CFPB workforce. Completion of this form is optional.
Instructions: Complete the form and print one copy.

Self-Identification of Disability (SF-256)
Purpose: To collect statistical information on the composition of the CFPB workforce.
Instructions: Complete the requested information at the top of the form, using the appropriate code. Print one copy.

Statement of Federal Service (SF-144)
Who Submits: All employees with prior Federal service.
Purpose: To help determine and maintain the length and type of previous Federal service.
Instructions: Read and complete the form, print one copy, and sign and date the form.

Uniform Service Status Code
Purpose: This form is used to maintain an accurate record of your current military status.
Instructions: Read and complete form. Print one copy and sign form.

-- Supplemental Forms (Review for Applicability) --

CFPB Emergency Information Form
Purpose: To designate your preferred contacts in case of an emergency.
Instructions: Complete and print one copy of the form

Verification of a Military Retiree's Service in Non-War Time Campaigns or Expeditions (SF-813)
Who Submits: Military Retirees.
Purpose: To request verification of a retiree's military service performed in a non-war time campaign or expedition for which badge/medal was authorized, in order to credit such service for leave accrual rate and reduction-in-force purposes.
Instructions: Complete address block and items 1 through 9. Print one copy.

If you have any questions about these forms, contact BFS/ARC at 304-480-8000, Option 4 or by email at CFPBHRProcessing@fiscal.treasury.gov.