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.
Forms for Non-Exempt Collective Bargaining Unit Employees
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BU Holiday Pay |
[Word] |
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BU Overtime List |
[Word] |
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BU Summary Record of Absence-Tardiness |
[Word] |
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BU Tuition Remission Addendum |
[Word] |
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Forms for Senior Citizens
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SU Senior Citizen Tuition Remission Form |
[Word] |
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Forms for Incident Reporting & Unsafe Conditions
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Link to Environmental Health & Safety |
Recruitment/New Hire Process
For forms not listed below, please go to the
Search and Selection page |
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Ad Template - External
Exempt Staff |
[Word] |
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Ad Template - External
Non-Exempt Staff |
[Word] |
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Ad Template - Faculty |
[Word] |
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Ad Template - Internal |
[Word] |
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Criminal History Check Release Form |
[Word] |
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Fair Credit Reporting Act (FCRA)
- Summary of Rights |
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[PDF] |
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Employee Personal Data Sheet |
[Word] |
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Employment Eligibility Verification (I-9) |
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[PDF] |
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Personnel Electronic Requisition Instructions -
Faculty Position |
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[PDF] |
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Personnel Electronic Requisition Instructions -
Staff Position |
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[PDF] |
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Position Description (PD) |
[Word] |
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Position Information (PI) |
[Word] |
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Request for Temporary Services |
[Word] |
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SU Employment Application |
[Word] |
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Extra work history sheets (for above
application) |
[Word] |
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Employment Contracts
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Contingent I Contract |
[Word] |
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Contingent I Contract Process Flow |
[Excel] |
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Contingent I Hire Checklist |
[Word] |
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Contingent I SU Policy Sign-Off Page |
[Word] |
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Dual Employment Form |
[Word] |
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Exempt Contingent II Contract |
[Word] |
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Non-Exempt Contingent II Contract |
[Word] |
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Faculty Contracts (Links
to Academic Affairs Webpage) |
Payroll Forms
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Direct Deposit Authorization |
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[PDF] |
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W-4 Employee Withholding Allowance Certificate |
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[PDF] |
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W-4 Instructions |
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[PDF] |
Policies
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Dual Employment Policy |
[Word] |
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Employee Rights &
Responsibilities under the Family and Medical Leave Act |
[Word] |
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State of MD Substance Abuse Policy |
[Word] |
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SU Policy Sign-Off Page |
[Word] |
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SU Sexual Harassment
Policy & Procedure |
[Word] |
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BOR Policy on Reporting of Suspected Child
Abuse & Neglect |
[Word] |
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Forms for Supervisors/Managers
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Notice of Separation Form |
[Word] |
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Notice of Separation Form (form-fill) |
[Word] |
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Overtime & Compensatory Time Authorization Form |
[Word] |
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Overtime & Compensatory Time Authorization
Process |
[Word] |
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PD Form for Exempt Employees |
[Word] |
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PI Form for Non Exempt Employees |
[Word] |
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Performance Management Process Forms |
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- PMP Form
For Non-Exempt Employees |
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[Excel |
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- PMP Form For Exempt Employees
(form-fill) |
[Word] |
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- PMP Form for Exempt Employees |
[Word] |
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- PMP Instructions: Using the Excel format |
[Word] |
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- PMP Form for Contingent I |
[Word] |
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- Probationary & Below Standards Evaluation |
[Word] |
[FormFill] |
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- Supervisor's Evaluation Check-off List |
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[Excel] |
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Permanent Schedule Change |
[Word] |
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Progressive Discipline Forms |
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- Disciplinary Notice Of Suspension |
[Word] |
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- Disciplinary Notice Of Suspension (for
Bargaining Unit Employees) |
[Word] |
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- Disciplinary Notice Of Suspension (for
Contingent Employees) |
[Word] |
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- EAP Form |
[Word] |
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- Record of Counseling - Verbal Reprimand |
[Word] |
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- Return to Work Medical Certification |
[Word] |
[PDF] |
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- Summary Record of Absence - Tardiness (for
excluded Non-Exempt employees only) |
[Word] |
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NOTE for
Non-Exempt Collective Bargaining Unit Employees,
see top section |
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- Summary Record of Absence - Tardiness for
Contingent Employees |
[Word] |
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- Written Reprimand Notification |
[Word] |
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- Written Reprimand Notification - Contingent |
[Word] |
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Job Analysis Request Packet
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Request for Job
Analysis |
[Word] |
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Job Analysis Classification -
Employee Questionnaire |
[Word] |
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Job Analysis - Statement of
Immediate Supervisor |
[Word] |
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Job Analysis - Statement of
Department Head |
[Word] |
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Forms for Employees
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Change of Name and/or Address (Central Payroll) |
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[PDF] |
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"In the News" Form |
[Word] |
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Grievance Form |
[Word] |
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Leave Request Form |
[Word] |
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Request to View/Copy Personnel File |
[Word] |
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Unsafe Condition Reporting
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[Word] |
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Forms for Tuition Remission
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USM Request for Tuition Remission (TR) |
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[PDF] |
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USM Tuition Remission - Affidavit (A) |
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[PDF] |
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W-4 (REQUIRED for Retirees requesting TR
for Spouse and/or Dependents) |
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[PDF] |
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- W-4 Explanation Letter for Retirees |
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[PDF] |
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- Tax Chart - USM Tuition Remission |
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[PDF] |
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- BU Tuition Remission Addendum |
[Word] |
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- USM TR Deadlines and Restrictions Chart -
Winter/Spring 2013 |
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[PDF] |
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- USM TR Deadlines and Restrictions Chart -
Summer 2013 |
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[PDF] |
Forms Related to Health Benefits
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Affidavit for All Dependent Children |
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[PDF] |
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Change of Name and/or Address (HR/Health
Benefits) |
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[PDF] |
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Disabled Dependent Certification Form |
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[PDF] |
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MetLife PA&D (Personal Accident &
Dismemberment) Beneficiary Form |
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[PDF] |
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The MetLife
Term Life Insurance Beneficiary Form |
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[PDF] |
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UNUM Term Life & LTD
Insurance Enrollment Form |
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[PDF] |
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UNUM Term Life Insurance
Beneficiary Form |
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[PDF] |
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Vision Service Forms (or related website): |
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United Healthcare Vision Claim Form |
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[PDF] |
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Carefirst Vision Claim Form |
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[PDF] |
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aetnamd.com |
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