Electronic Forms
The Office of Human Resources/Payroll provides some forms electronically.You must have Adode Acrobat Reader software installed on your computer inorder to view PDF forms.Adobe Acrobat Reader is a free software and you can get it at Adode Acrobat website.
Scroll down to view available forms.
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1. General HR Forms |
Available (Click Here) | |
| Tution Waiver / Tution Remission Form | WORD | |
| Sabbatical Return to Service Agreement | WORD | |
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Non-Employee Action Form |
WORD | |
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Employment Continuation Form |
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New Employee/New Assignment Personal Data Form |
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| Direct Deposit Authorization Form | WORD | |
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Employee Address and Telephone Change Form |
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| Request for Labels/Lists Form | WORD | |
| Employment Eligibility Verification I-9 Form | ||
| Temporary Non-Benefited Employee Forms | Link | |
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2. Compensation Forms |
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| Exemption from OBRA Deductions Form | ||
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Additional Compensation Faculty Form |
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Additional Compensation Professional Staff Form |
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Statement of Non-Conflict |
WORD | |
| Massachusetts Form M-4 | ||
| Federal IRS Form W-4 | ||
| OBRA Participation Agreement (Mandatory) | ||
| OBRA Refund Form | WORD | |
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3. Benefits Forms | ||
| Insurance Data Form(IDF) | ||
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Insurance Enrollment and Change Form |
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Salary Reduction Form(403 B) |
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Salary Reduction Form(403 B)/Defered Comp |
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2007 HCSA/DCAP Enrollment and Change Form |
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| SHPS Health Care (HCSA) Reimbursement Form | ||
| SHPS Dependent Care (DCAP) Reimbursement Form | ||
| GIC Information about eligible expenses | ||
| Social Security Information From SSA-1945 | ||
| Massachusetts Deferred Compensation Participation Agreement (Voluntary) | ||
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5. Performance Evaluation Forms | ||
| IBPO Form | ||
| AFT Maintainers Form | ||
| AFSCME Form | ||
| ESU Form | WORD | |
| Faculty Activities Report | WORD | |
Last Updated On: 3/8/07
