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Term Law Clerks and Term Staff Attorneys

Congratulations on your selection for employment and welcome to the United States District Court for the Northern District of Alabama.

New Hire Forms

The following forms should be completed and returned to the HR Administrator at two weeks prior to your first day of work.

Employment and Payroll Forms

AO-78 Form - Judiciary Application Form

Please complete and be sure to sign the signature page (located on page 5)


I-9 Form - Employment Eligibility Verification

Appointments are contingent upon verification of eligibility to work in the United States and receive compensation. The I-9 form requires that you provide evidence of your identity and employment authorization.  A list of acceptable documents is located on the last page of the form.

Acceptable ID must be presented on your first day of employment.  Appointment paperwork cannot be processed without this verification.

You will need to bring two copies of identification for verification and issuance of ID badge.


Direct Deposit Form

Electronic Direct Deposit of your pay to the bank of your choice is mandatory.
Important Note: The "Check Digit" on the Direct Deposit form is the last digit of the routing number.

Please complete the attached form.


IRS W-4 Tax Withholding

Please complete the attached W-4 form.


State Tax Withholding

Please complete the attached tax withholding form for the State in which you will reside while working for the Court.


City Tax Withholding

For Birmingham court employees only.  Please complete the attached form.


Emergency Contact Information

Please complete the attached form with your emergency contact information.


Fingerprint Card

Please complete the attached form to prepare fingerprint card.


Parking Form

Please complete the attached parking form in order for us to keep an accurate record of all parking patrons and assist us in recognizing illegal parkers: 


If you are unable to return completed forms prior to your first day or if you have questions regarding these forms, please contact the HR Administrator, Shiretta Houser, at or by phone at 205-278-1767.


Benefit Information

Health, Life, and Flexible Spending Plans - Enrollment is handled by the Judiciary Benefits Center (JBC).


Phone: 1-888-442-FLEX (1-888-442-3539)

  • Federal Employees Health Benefit (FEHB)

    To review and compare plans and premiums, go to

    The earliest date that FEHB coverage can be effective is the first day of the pay period following your entry on duty (EOD). See the FEHB Biweekly Effective Date Schedule located under FEHB on the opening page of the JBC's website for a list of Receipt v. Effective dates.

    If you are unable to enroll online, contact the JBC directly or fax the SF2809-Health Benefits Election Form to the JBC. The form and fax number are included on the opening page of the JBC's website.

  • Federal Employees Group Life Insurance (FEGLI)

    Enrollment in Basic Life insurance is automatic and begins immediately unless you waive coverage. Basic coverage equals your salary rounded to the nearest thousand, plus two thousand. Optional insurance is also available to you and your family, but you must elect it and be enrolled in Basic.

    Detailed information, including a FEGLI premium calculator, is located at

  • Flexible Spending Accounts (FSA)
    The FSA program gives employees the option to pay for certain health care expenses not covered by insurance as well as dependent care expenses on a pre-tax basis.


Dental and Vision Plans - Enrollment is handled by BENEFEDS.

Phone: 1-877-888-FEDS (1-877-888-3337)

  • Federal Employee Dental and/or Vision Insurance Plans (FEDVIP)
    Many FEHB plans offer minimal or discounted dental and vision benefits. Employees interested in a comprehensive plan should visit the BENEFEDS website. Dental and vision plans are paid for entirely by the employee.
  • DentalBlue is a dental plan that is not available through the FEDVIP program but is offered to federal employees through Blue Cross of Alabama.  Blue Cross does require that you have medical coverage with their plan in order to elect supplemental dental benefits and the option (self only or family) is limited to whichever medical plan you elect.


Additional information on benefits offered by the federal Judiciary is available at:


State Tax Withholding

Please complete the attached tax withholding form for the State in which you will reside while working for the Court.