Census Careers

• Please complete items 1-6 and 9-11. Sign and date the form.
• You may use a temporary address to complete this form. Once you have established permanent residence, you should submit a change of address using the NFC Employee Personal Page. NFC Employee Personal Page allows you to make certain personnel and payroll changes electronically.
• State taxes are deducted automatically based on your duty station (Suitland, Maryland), not on your home address. Therefore, Maryland state taxes will be deducted from your salary. If you do not reside in Maryland, complete a waiver of Maryland tax by signing the Certification of Non-residence found on the Maryland state tax form MW 507 [PDF <1.0 MB], and submit it along with your residence state income tax form. See the Maryland, Virginia and District of Columbia tax forms for more information.

  Employee Address   [<1.0 MB]

• Please read the accompanying document, "Standards of Ethical Conduct for Employees of the Executive Branch".
• On form CD-314, fill in your name and, under "Employee's Organization", enter your division and branch. If you are not sure of your division and branch names, leave this blank until orientation.
• Check the box appropriate to your situation.
• Sign and date the form.
• To request guidance concerning your circumstances, follow the "Special Instructions" found on the lower half of the CD-314. Please address your inquiry to:
  • Ethics Officer
    Employee Relations Branch
    Human Resources Division, Room 3280/3
    Bureau of the Census
    Washington, DC 20233

  Statement Relating to Employee Responsibilities and Conduct   [<1.0 MB]

• This form must be completed by all new employees.
• Check the box next to the uniformed service component that applies to you. Sign and date the form.
• If this form does not apply to you, check Box a. under "Type of Service". Sign and date the form.

  Uniformed Service Status Form   [<1.0 MB]

• Enter your name, address, and social security number.
• Indicate the tax rate category and number of exemptions you wish to claim on this Federal income tax withholding form.
• If you are unsure about the number of exemptions to claim, you can use the Personal Allowances Worksheet at the top of the W-4 form, or, the Deductions and Adjustment Worksheet on the reverse of the form. Additional withholding advice should be sought from a tax professional.
• Sign and date the form.

  Employee's Withholding Allowance Certificate   [<1.0 MB]

Completion of this form is necessary for the timely payment of your biweekly salary.

Section 1

A - Enter your name, address, and telephone number.
B - Skip
C - Enter
D - Check next to your account type.
E - Enter your account number. Do not leave blank spaces between the numbers. You may use dashes if they are part of your account number.
F - Self-explanatory
G - Skip

Joint Account Holders' Certification: If there are two names on the account, both account holders must sign here.

Section 2

Government Agency Name: Census Bureau
Government Agency Address: Washington, DC 20233

Section 3

This must be completed, signed, and dated by your financial institution and given back to you.

PLEASE BRING THE COMPLETED FROM TO ORIENTATION ALONG WITH A "VOIDED CHECK" OR FINANCIAL INSTITUTION CERTIFICATION IN SECTION 3 OF THE DIRECT DEPOSIT FORM. FAILURE TO BRING A "VOIDED CHECK" OR FINANCIAL INSTITUTION CERTIFICATION COULD RESULT IN A DELAY IN THE PROCESSING OF YOUR DIRECT DEPOSIT FORM.

  Direct Deposit Sign-Up   [<1.0 MB]

If you are a Virginia resident:

• Enter your social security number, name and address.
• Indicate the number of withholding exemptions you are claiming. If you are unsure about the number of exemptions to claim, use the Personal Exemption worksheet on the top of the Form VA-4 to determine the correct deduction.
• Sign and date the form.
• If you work at Census Headquarters in the State of Maryland, you must complete and sign the Certification of Non-residence (#4) on the Maryland state tax Form MW 507 [PDF <1.0 MB] to waive Maryland state taxes. Instructions for claiming non-residence are found on page 2 under "Line 4".

  Employee's Virginia Income Tax Withholding Exemption Certificate   [1.2 MB]

If you are a Maryland resident:

• Enter your name, social security number, address and county of residence.
• Indicate the number of exemption you are claiming. If you are unsure about the number of exemption to claim, use the Worksheet at the bottom of the form to determine the correction deduction.
• Sign and date the form.

Note: Residents of the District of Columbia, Pennsylvania, Virginia or West Virginia should complete the Certification of Non-residence (#4) on Form MW-507 to waive Maryland state taxes. Instructions for claiming non-residence are found on page 2 under "line 4".

  Employee's Maryland Withholding Exemption Certificate   [<1.0 MB]

For residents of the District of Columbia:

• Enter your name, address, and social security number.
• Select your filing status and the total number of allowances you are claiming. If you are unsure about the number of allowances to claim, use the Worksheet provided on Form D-4 to determine the correct deduction.
• Sign and date the form.
• If you work at the Census Headquarters in the State of Maryland, you must complete and sign the Certification of Non-residence (#4) on the Maryland state tax Form MW 507 [PDF <1.0 MB] to waive Maryland state taxes. Instructions for claiming non-residence are found on page 2 under "Line 4".

  DC Withholding Allowance Certificate   [<1.0 MB]

• This form must be completed if you are a male born after December 31, 1959.
• Under "Certification of Registration Status", check the statement that applies to you.
• Sign and date the form.

  Certification Statement for Selective Service Registration   [<1.0 MB]

The purpose of the Statement of Prior Federal Service form is to give you credit for any previous Federal service that is not listed on your original resume. This information is used to give you proper credit for leave benefits, retirement and retention status in case of a reduction-in-force (RIF). You are requested to complete this form even if you have no prior Federal service as it is filed in your personal electronic official personnel folder (eOPF).

  Statement of Prior Federal Service   [<1.0 MB]

Your furnishing this information is voluntary. Your failure to do so will have no effect on you or your Federal employment. If you fail to provide the information, however, the employing agency will attempt to identify your race and national origin by visual perception.

• Check the box next to the category that define your basic racial and national origin.
• If you are of mixed origin, select the category with which you most closely identify.
• Mark only one box.

  Ethnicity and Race Identification   [<1.0 MB]

Self-Identification of handicap status is voluntary, however, your cooperation in providing this information is very important.

• The Privacy Act statement and purpose for handicap data collection is explained on the back of the form.
• Read through the definitions provided and enter the code of the one which best described your status.
• Enter only one code.

  Self-Identification of Disability   [<1.0 MB]