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Information for Departments

Documents and Forms

Below are links to various employment forms and other employment related sites such as Hawaii Information Portal (HIP) and ACER.

Digital signatures are allowed on forms unless otherwise indicated below. Adobe Acrobat Reader DC is required to sign the documents in the table below. Download free from the Adobe website. See Using a Digital ID to sign a PDF.

EMPLOYEE FORMS AND IMPORTANT LINKS

FORM	NOTES
ACA Part-Time and Temporary Medical and Prescription Drug Plan Acknowledgement: ACER Login	To be completed each calendar year
EC-1 : Health Benefits Enrollment Form	Original wet signature required
ERS-1 : Membership Enrollment Form
ERS-209: Certification of Compliance with Requirements For Employment of A Retirant	Original wet signature required
FORM 1-A : ERS Designation of Beneficiary	Original wet signature required
Form 27 : Employee Self-Identification
Form 3 : Request for Authorization of Overload
GA Petition to Work 20+ hours
General Confidentiality Notice: ACER Login	Required for all new hires
Hawaii Information Portal Beneficiary Designation	HIP Instructions
Hawaii Information Portal Direct Deposit	This is a requirement per Hawaii Revised Statute (HRS 40-53) and Administrative Procedure AP8.802
	HIP Instructions
Hawaii Information Portal HW-4 and W-4 Tax Input	HIP Instructions
I-9: Employment Eligibility	Original wet signature required.
Information Security Awareness Training: ACER Login	Required for all new hires
Mulit-Factor Authentication Setup
PTS Deferred Comp Enrollment Form	Submit directly to NBS
Securian Life Insurance Designation of Beneficiary	Submit directly to Securian
SSA-1945: Statement Concerning Your Employment in a Job Not Covered by Social Security
TB Clearance	Information regarding TB Clearance Requirements
Title IX: Online Training	Only available with an active appointment
UH 107: Certification of State of Hawaii Employees' Retirement System
UH Form 109: Act 179 Acknowledgment Form BOR Employees
Employee Questionnaire

NOTE: Employee is required to enter his/her withholding tax information online at the Hawaii Information Portal (HIP). State and Federal tax information will default to "Single" with "0" exemptions until the employee is able to access HIP to enter his/her own tax withholding information.

Updated 01/30/24

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