New Hire Processing Forms

Your eligibility will be contingent upon completion of a background investigation and/or a health assessment satisfactory to the Department.

The new hire forms below must be completed and submitted to your compliance specialist within 3 business days. The compliance specialist will review the completed forms and other required documentation.

Do not resign from your current employment until you have received notification from your hiring program to commence employment.

Forms

• EEO Self-Identification Form (PDF)
• EEO Self-Disclosure Form (PDF)
• Designation of Beneficiary Form (PDF)
• DCAS Agreement Under Section 1127 of the New York City Charter (PDF)
• NYC Residency Requirements & Executive Order 131 (PDF)
• Employment Eligibility Verification Form I-9 (PDF)
• Processing Fees (PDF)
• Investigative Summary Checklist (PDF)
• Jurisdictional Class Acknowledgement (PDF)
• Form W-4 (PDF)
• Employee’s Withholding Allowance Certificate (IT-2104) (PDF)
• NYCAPS New Hire Form — Employee Personal Data (PDF)
• Acknowledgement of Receipt (PDF)
• Oath Agreement (PDF)
• Pre-employment Agreement (PDF)
• Notice to Employees (PDF)
• Conflict of Interest Board Charter (PDF)
• Pursuant to Charter #1136 (PDF)
• Anti-Nepotism Form (PDF)
• DOI Memoranda: Executive Order 72 (PDF)

Other Forms, If Applicable

• Union Affiliation Acknowledgement Form (PDF)
• Requirement to Maintain Valid NYS License and Registration (PDF)
• Seasonal City Employees (PDF)
• Withholding Certificate Affirmation (PDF)
• Form 8233 (PDF)
• 55A Acknowledgement Form (PDF)

Reading Materials

• Employee's Withholding Certificate Procedures (PDF)
• Commissioner's Memo on Executive Order #39 (PDF)
• Drug & Alcohol Policy Statement (PDF)
• DOHMH Standards of Conduct (PDF)
• Executive Order 131 (PDF)
• NYC Charter (PDF)
• NYC Employee Benefits Overview (PDF)
• Personal Income Tax & Non-resident NYC Employee Payments
• Stop Sexual Harassment Act Notice (PDF)
• Important Notice for City Employees with Student Loan Debt (PDF)