FORMS
|
Name |
Description |
| 403B Salary Reduction Agreement Form | Authorization to Deduct 403B Contributions from Employees Paycheck |
| Additional Compensation Form - Faculty | Request Additional Compensation for Faculty |
| Additional Compensation Form- Professional Staff | Request Additional Compensation for Professional Staff |
| Address and Telephone Change Form | Change your Address and Telephone Number |
| AFSCME Finalist Assessment Form | Hiring Manager must complete for AFSCME job applicants |
| Beneficiary Change Form for State Retirement System | Designate Beneficiaries for the State Employees Retirment System (SERS) |
| Benefited Part-Time Lecturer Recommendation Form (formerly called HTL) | Request a Benefited Part-time Lecturer Appointment |
| Benefits Acknowledgement Form | Familiarize Yourself with Benefit Options Available |
|
Certification of Health Care Provider for Employee's Serious Health Condition |
Provide Medical Certification from your Physician for (FMLA) |
|
Certification of Health Care Provider for Family Member's Serious Health Condition |
Provide Medical Certification from your Physician for (FMLA) |
| Computing Access Request Form | Request an electronic log-on account |
| Dependent Care Assistance Program(DCAP) Enrollment Form | Enroll in Flexible Spending Accounts |
| Dependent Care Expense Reimbursement Form | Request Reimbursement for Dependent Care Expenses |
| Direct Deposit Form | Electronic Deposit of Paycheck into Employee's Bank Account |
| Domestic Partnership Statement Form | Declare Domestic Partnership for Same-Sex Couples |
| EE/I Savings Bonds | Authorizes employers to make payroll deductions for EE and I Bonds. |
| EEO Assurance Form | Search and Screen Committees Members must sign this form |
| Employment Application | For External Job Applicants |
| Employment Continuation Form | To continue employment of a part-time or non-benefited employee |
| Ethnic and Gender Referral Form | Applicants Complete as part of Recruitment Process |
| Evaluation Form- AFSCME | Annual Performance Review - AFSCME Union Member |
| Evaluation Form- ESU | Annual Performance Review - ESU Union Member |
| Evaluation Form- IBPO | Annual Performance Review - IBPO Union Member |
| Evaluation Form- Maintainer | Annual Performance Review - Maintainer Union Member |
| Exit Interview Questionnaire | Identify factors which have contributed to an employee’s decision to leave employment |
| Faculty Activities Report | Faculty Activities Report - Used for Annual Review |
| Form 30 Position Description Template | Develop a Classified Position Description - Form 30 |
| Health Care Expense Reimbursement Form | Request Reimbursement for Health Care Expenses |
| Health Care Spending Account(HCSA) Enrollment Form | Enroll in Flexible Spending Accounts |
| Health Insurance Application Form (for an HMO plan) | Enroll in HMO Medical Plan |
| Health Insurance Data Form(if family health plan) | Enroll Family Members in Health Plan |
| Health Insurance Enrollment and Change Form 1 | Enroll in Health Care Plan |
| Hiring Recommendation Form | For Hiring Managers to Select a Finalist for Hire |
| ID Request Form for a Non-Employee or Future Employee | Request an ID from Human Resources |
| I-9 Form | I-9 Form - Employment Eligibility Verification |
| Label Request Form | Request Data for Labels or Mailing Lists from Human Resources |
| Medical Leave FMLA Form | Request Family and Medical Leave (FMLA) |
| New Employee/New Assignment Personal Data Form | For New Temporary, Non-Benefited Employees |
| Non-Conflict Statement | Used When Additional Compensation Occurs During Employees Normal Working Hours |
| OBRA Exemption form | See if you are Exempt from OBRA |
| OBRA Participation Agreement Enrollment Form | Enroll in OBRA - Mandatory for Temporary, Non-Benefited Employee |
| OBRA Refund Request Form | For Employees Leaving University Service to Request OBRA Contributions |
| Optional Life Insurance Enrollment Form | Enroll in Optional Life Insurance |
| ORP Enrollment / Change Form | Enrolling in the Optional Retirement System (ORP) |
| ORP Insurance Enrollment and Beneficiary Change Form | Designate Beneficiaries for Optional Retirment System (ORP) |
| Part-Time Lecturer Recommendation Form | Request a Part-time Lecturer Appointment |
| Personal Data Questionnaire | For New Benefited Employees |
| Position Authorization Form | For Hiring Managers to Start a Recruitment/Search Process |
| Position Description Template - Professional | Develop a Professional Position Description |
| Post Doctoral Hiring Recommendation Form | Search process for Postdoctoral Fellows |
| Property Control Form | For Employees Leaving University Service to Return University Property |
| Reclassification / Salary Adjustment / Title Change Form-Request Form | For ESU Members Requesting a Reclassification |
| Reference Check Form | For Hiring Managers to Complete Finalist Reference Check |
| Search and Screen Committee Recommendation Form | For ESU Members Requesting a Reclassification |
| Staffing Agency Request Form (Staffing Agencies) | Request Temporary Staff from External Staffing Agencies |
| Standard Form B (Internal Application for Union i.e.AFSCME & AFT Maintainer Employees Only) | For Internal Union Employee Job Applicants |
| State Board of Retirement System Enrollment Form | Enroll in State Employees Retirement System (SERS) |
| State Board of Retirement's Accumulated Pension Deductions Return Request Form | For Employees Leaving University Service to Request SERS Contributions |
| State Board of Retirement's Contract Buy Back Form | For purchasing contract service that was rendered as a part-time or non-benefited employee |
| State Board of Retirement's Purchase of Creditable Service(Buyback) Form | For buying back prior state service that was previously withdrawn |
| Statement Concerning Your Employment in a Job Not Covered by Social Security | Concerning your position not being covered by Social Security |
| Strengths & Weaknesses of Applicants (Sample Grid) | Sample Grid for applicant assessment |
| Tax Withholding M-4 Form - Massachusetts | Massachusetts Tax Withholding Form |
| Tax Withholding W-4 Form - Federal | Federal Tax Withholding Form |
| Temporary Hires (Emergency Basis) - Request Form | Request Temporary Hire on an Emergency Basis |
| Temporary Work Assignment Form | For Requesting an Out-of-Title Work Assignment |
| Time Sheet for Exception Reporting Employees (Correction Form) | Timesheet - Use for Corrections to Exception Reporting Employees |
| Time Sheet for Exception Reporting Employees | Timesheet - Use for Exception Reporting Employees |
| Time Sheet for Part Time Faculty and Teaching Assistants | Timesheet - Use for Part-time Faculty and Teaching Assistants |
| Time Sheet for Positive Reporting - Late Pay Form | Timesheet - Use for Corrections/Late Pay for Positive Reporting Employees |
| Time Sheet for Positive Reporting Employees | Timesheet - Use for Positive (Hourly) Reporting Employees |
| Time Sheet for Overtime - Exception Reporting Employees | Timesheet - Use for Overtime for Exception Reporting Employees |
| Tuition Waiver Form | Request Tuition Waiver Benefit |
| Volunteer Liability Waiver Form | Volunteers Form |
Last Updated On: 3/12/10
