Forms Used to Process Employee Transactions
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All Forms, A-Z
- 311-T Change Form (.pdf)
- 311-T Change Form (Docusign)
- 403(b) TIAA-CREF Pre-Tax
- 403(b) TIAA-CREF Roth After-Tax
- 403(b) Fidelity Pre-Tax
- 403(b) Fidelity Roth After-Tax
- 457(b) Fidelity Pre-Tax
- 457(b) TIAA-CREF Pre-Tax
- ACA Fact Sheet for Contractual Employees
- Adjunct Faculty Contract
- Affidavit for Dependent Eligibility and Tax Status (Children or Spouse)
- Commuter Choice Enrollment Form
- Contingent I Position Description
- Contractual I and II Employment Contract
- Direct Deposit Authorization
- Employee Request for Family and Medical Leave
- Enrollment Forms for Health Benefits
- Exception Form for Exceeding Overload Limitations
- Federal Work-Student Agreement Form
- FMLA Certification by Physician Form
- FMLA Job Aid
- Graduate Assistant Contract
- Health Benefits Personal Information Change Form
- Health Insurance Marketplace Coverage Options and Your Health Care
- HIPAA Authorization Form
- HR Demographic Form/Employee Information Form
- Multiple Memo Pay Contract Renewal
- Other Employment Questionnaire
- Performance Appraisal Form
- Position Description (Regular/C2)
- Request for Advanced Sick Leave
- Request for Extended Sick Leave
- Request for Reasonable Accommodation Pandemic Circumstances
- Return to Work Medical Certification Form
- Secondary Employment
- Separation/Termination from Service
- Student Assistant Employment Agreement
- Substance Abuse Policy Acknowledgment Form
- Tax Forms (W-4/Federal and MW507/State) Agency Number 360228
- Teleworking Agreement in the Event of University Emergency Form
- Tuition Remission Form
- Workers' Compensation Employee Report
- Workers' Compensation Supervisor Report
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Health (Visit Dept. of Budget & Management's Health Benefits forms page for additional forms and instructions.)
- ACA Fact Sheet for Contractual Employees
- Affidavit for Dependent Eligibility and Tax Status (Children or Spouse)
- Enrollment Form for Health Benefits for Active
- Enrollment Form for Health Benefits for Direct Pay Employees
- Enrollment Form for Health Benefits for Contractual/Variable Employees
- Enrollment Form for Health Benefits for Retirees
- Enrollment Form for Health Benefits for Satellite Employees
- Health Benefits Personal Information Change Form
- Health Insurance Marketplace Coverage Options and Your Health Care
- HIPAA Authorization Form
- Other Employment Questionnaire
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Supplemental Retirement Plans
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Additional Benefits
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Compensation
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- Adjunct Faculty Contract
- Contingent I Position Description
- Contractual I and II Employment Contract*
- Exception Form for Exceeding Overload Limitations
- Federal Work-Student Agreement Form
- Graduate Assistant Contract
- Multiple Memo Pay Contract Renewal
- Secondary Employment
- Student Assistant Employment Agreement*
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- FMLA Job Aid
- Certification of Health Care Provider for Employee's Serious Health Condition
- Certification of Health Care Provider for Family Member's Serious Health Condition
- Certification of Serious Injury or Illness of Covered Servicemember - For Military Family Leave
- Employee Request for Family and Medical Leave
- Parental Leave Form
- Return to Work Medical Certification Form
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Payroll and Tax
- 311-T Change Form (.pdf)
- 311-T Change Form (Docusign)
- 403(b) Fidelity
- 403(b) TIAA-CREF
- 403(b) Voluntary Salary Deferral Agreement Form
- 457(b) Fidelity
- 457(b) TIAA-CREF
- 457(b) Voluntary Salary Deferral Agreement Form
- Direct Deposit Authorization
- Form D-4 (Withholding for D.C. Residents)
- Tax Forms (W-4/Federal and MW507/State) Agency Number 360228
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Recruiting/Hiring
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All forms and additional information can be obtained from the Maryland State Retirement and Pension System Participants website .
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Workers' Compensation