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Forms

Employee forms have been moved to the portal and can be found under their respective categories (i.e. benefits, recruitment).  Please note that you will need to log into the employee portal my.umassd.edu to access these forms.

The following forms are for non-active employees or those considering employment opportunities and can also be accessed via the employee portal.

Name Description
RI State Tax Form W-4

EMPLOYEES ONLY.  Student workers should contact Student Employment for their form. 

This form is REQUIRED for new employees who are RI residents working in MA.  Existing employees should also use this form to make changes to their RI withholdings. 

ID Request Form for a Non-Employee or Volunteer Needing Access Request an Employee ID for a Non-Employee.  This form is located under the recruitment tab on the HR Portal.  It must be completed by the UMassD employee who will be responsible for supervising the contingent worker.  
CORI Acknowledgment Form - UMass Massachusetts CORI background check form
OBRA Refund Request Form For Employees Leaving University Service to Request OBRA Contributions
State Board of Retirement's Accumulated Pension Deductions Return Request Form For Employees Leaving University Service to Request SERS Contributions
Timesheet Correction/Late Pay Form To correct previously reported time or late pay (time never reported)
Volunteer Liability Waiver Form Volunteers Form

 Please note that due to security concerns, paper Direct Deposit forms are no longer accepted.  All employees must add/update their own direct deposit information via HR Direct.  Job aids are also available on the portal. 

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