New Member Orientation Program
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Administrative Forms for
Representatives-Elect
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2026 NMO Agenda & Presentations
Administrative Forms for Representatives-Elect
Representatives-Elect, please direct questions regarding the Administrative Forms to House Payroll, Benefits & Healthcare Specialist Officer, Chynna Brady, at
Chynna.Brady@ohiohouse.gov
or
(614) 387-1399.
137th GA Welcome Letter (PDF)
137th GA Member Information Form (PDF)
I-9 expires 05/31/2027 (PDF)
Authorization for Direct Deposit of Pay (PDF)
Form W-4 2026 (PDF)
Ohio IT 4 (PDF)
Municipal Tax Authorization for Payroll Deduction (PDF)
SSA-1945 (PDF)
OPERS - Personal History Record/Elected Official Membership (PDF)
Ohio Deferred Compensation EZ Enrollment Form (PDF)
Pre-tax vs. Roth 457(b) (PDF)
Quarterly Mileage Reimbursement (PDF)
Reporting Fraud (PDF)
Benefits Acknowledgement (PDF)
Temporary Business Cards Order Form (PDF)
Employee Benefits Guide 7-1-26 to 6-30-27 (PDF)
Benefit Enrollment/Change Form (PDF)
Eligibility Change Matrix (PDF)
Flexible spending accounts, Health savings accounts, Commuter Benefits (PDF)
New Hire Enrollment - No Dependents (PDF)
New Hire Enrollment with Dependents (PDF)
