Human Resources

 

Holloway Hall

HR Forms

The forms below are available in Word and PDF format. If you use Word documents, you may save the file and complete the form on your computer. Otherwise, you can print out the PDF version and complete by hand. You will need a PDF reader such as Acrobat Reader in order to view PDF files.

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Forms for Non-Exempt Collective Bargaining Unit Employees

BU Holiday Pay [Word]  
BU Overtime List [Word]  
BU Summary Record of Absence-Tardiness [Word]  
BU Tuition Remission Addendum [Word]  

Forms for Applicants

   
SU Employment Application [Word]  
Extra work history sheets (for above application) [Word]  
  Application Page 3 - Equal Employment Opportunity Statistical  Worksheet (Return with completed SU application) [Word]  

Forms for Senior Citizens

   
 SU Senior Citizen Tuition Remission Form [Word]  

Forms for Incident Reporting & Unsafe Conditions

 

Link to Environmental Health & Safety

Recruitment/New Hire Process

   
  Ad Template - External Exempt Staff [Word]  
  Ad Template - External Non-Exempt Staff [Word]  
  Ad Template - Faculty [Word]  
  Ad Template - Internal [Word]  
  Ad Workorder Form [Word]  
Criminal History Check Release Form [Word]  
Employee Data Sheet [Word]  
Employment Eligibility Verification (I-9)   [PDF]
Personnel Requisition [Word]  
  Position Description (PD) [Word]  
  Position Information (PI) [Word]  
Request for Temporary Services [Word]  

Employment Contracts

   
Contingent I Contract [Word]  
Contingent I Contract Process Flow [Excel]  
Contingent I Hire Checklist [Word]  
Dual Employment Form [Word]  
Exempt Contingent II Contract [Word]  
Non-Exempt Contingent II Contract [Word]  

Faculty Contracts (Links to Academic Affairs Webpage)

 

Payroll Forms

   
Direct Deposit Authorization   [PDF]
Special Payments Payroll Authorization (311)   [PDF]
W-4 Instructions and Worksheet   [PDF]
W-4 Employee Withholding Certificate   [PDF]

Policies

   
  Dual Employment Policy [Word]  
  Employee Rights & Responsibilities under the Family and Medical Leave Act [Word]  
State of MD Substance Abuse Policy [Word]  
SU Policy Sign-Off Sheet [Word]  
  SU Sexual and Other Discriminatory Harassment Policy [Word]  
  SU Procedures for Pursuing Complaints of Sexual and Other Discriminatory Harassment [Word]  

Forms for Supervisors/Managers

Notice of Separation Form [Word]  
Overtime & Compensatory Time Authorization Form [Word]  
  Overtime & Compensatory Time Authorization Process [Word]  
PD Form for Exempt Employees [Word]  
New PI Form for Non Exempt Employees [Word]  
Performance Management Process Forms    
- PMP Form For Non-Exempt Employees   Excel
  - PMP Form For Exempt Employees [Word]  
- PMP Instructions:  Using the Excel format Word  
- PMP Form for Contingent I [Word]  
- Probationary & Below Standards Evaluation [Word]  
- Supervisor's Evaluation Check-off List   [Excel]
Permanent Schedule Change [Word]  
Progressive Discipline Forms    
- Disciplinary Notice Of Suspension [Word]  
  - Disciplinary Notice Of Suspension (for Bargaining Unit Employees) [Word]  
  - Disciplinary Notice Of Suspension (for Contingent Employees) [Word]  
- EAP Form [Word]  
- Record of Counseling - Verbal Reprimand [Word]  
- Return to Work Medical Certification [Word] [PDF]
  - Summary Record of Absence - Tardiness (for excluded Non-Exempt employees only) [Word]  
  NOTE for Non-Exempt Collective Bargaining Unit Employees, see top section
  - Summary Record of Absence - Tardiness for Contingent Employees [Word]  
  - Written Reprimand Notification [Word]
  - Written Reprimand Notification - Contingent [Word]  
  Job Analysis Request Packet    
  Request for Job Analysis [Word]  
  Job Analysis Classification - Employee Questionnaire [Word]  
  Job Analysis - Statement of Immediate Supervisor [Word]  
  Job Analysis - Statement of Department Head [Word]  

Forms for Employees

   
Change of Name and/or Address (Central Payroll)   [PDF]
"In the News" Form [Word]  
  Grievance Form [Word]  
Leave Request Form [Word]  
Unsafe Condition Reporting [Word]  
USM Tuition Waiver Form   [PDF]
- Tuition Remission Addendum for Spouses & Dependents [Word]  
- BU Tuition Remission Addendum [Word]  

Forms Related to Health Benefits

Affidavit for All Dependent Children   [PDF]
  Change of Name and/or Address (HR/Health Benefits)   [PDF]
  Disabled Dependent Certification Form   [PDF]
  MetLife PA&D (Personal Accident & Dismemberment) Beneficiary Form   [PDF]
  The MetLife Term Life Insurance Beneficiary  Form   [PDF]
  UNUM Term Life & LTD Insurance Enrollment Form   [PDF]
  UNUM Term Life Insurance Beneficiary Form   [PDF]
Vision Service Form (see related websites):    
Mamsi United Healthcare Vision Form   [PDF]
aetna.com    
www.carefirst.com/statemd