NEW EMPLOYEE ESSENTIALS
New employees are required to complete and submit the following forms to the Office of Human Resources prior to receiving compensation and/or benefits.
Request an EMPL ID for a Non-Employee or Future Employee
Volunteer Liability Waiver Form
Employee Address and Telephone Change Form
Forms required for All New Employees
- Request for Computing Access
- On-line Directory Access Instructions
- Direct Deposit Form ( FAQ's )
- Federal Tax Form W-4
- Massachusetts Tax Withholding Form M-4
- Employment Eligibility Verification Form I-9
- I-9 Instructions for Remote Employees
- University ID and Parking Request Form will be authorized upon visit to Human Resources
Additional Forms required for Temporary/Non-Benefited Employees
- New Employee/New Assignment Personal Data Form
- OBRA Participation Agreement Form (mandatory)
- Click to see if you are Exempt from OBRA
Additional Forms required for Benefited Employees
- Personal Data Questionnaire
- Statement Concerning Your Employment in a Job Not Covered by Social Security
- When Does Health Insurance Coverage Begin?
- Benefit Decision Guide
- Benefits Acknowledgement Form
- Plan Rates
- Insurance Enrollment and Change Form 1
- Insurance Data Form (if family health plan)
- Documentation Required for Insurance Coverage
- Health Insurance Application Form (for an HMO plan)
- Life Insurance Beneficiary Designation Form - provided in person at Human Resources
- Optional Life Insurance
- Long -Term Disability
- Dental Insurance - varies based on union membership
- Massachusetts State Employees Retirement System Enrollment Form
- Optional Retirement Program - For Faculty and Senior Level Administrators Only
For additional information about these benefits and programs, schedule an appointment with our benefits coordinator, Mitch Berube, mberube@umassd.edu or call X8083
Last Updated On: 9/25/09
