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Below are electronic versions of the forms in use by Human Resources including Summary Plan Descriptions (SPDs) for our benefit plans.
You'll need the Adobe Acrobat Reader to access these files:
- New Employee Orientation Presentation
- Bonus Compensation Form
- Promotional Bid and Transfer Form
- Disciplinary Action Form
- Faculty and Staff Assistance Program (FASAP) Plan SPD
- Federal Family Medical Leave Act (FMLA) Forms
Request for FMLA
Authorization for Release of Health Information
Family Medical Leave (FML) Checklist
Employee's Serious Health Condition
Family Member's Serious Health Condition
Certification of Qualifying Military Exigency
Certification for Serious Injury or Illness of Covered Servicemember
- Short-term Disability (STD) Claim Form
- EHP Medical or Vision Claim
- EHP Dental Claim (United Concordia)
- Flexible Spending Account Information & Claim Forms
- Prescription Mail Order
- Prescription Primary Claim
- Prescription Secondary Claim
- Non-Represented Employees Benefits Plan SPD
- Lincoln Financial 403(b) Enrollment Book and Plan Information
- 403(b) Opt Out Form
- Non-Represented Employees 403(b) Plan SPD
- Dependent Child Tuition Form
- Direct Deposit Form
- Direct Deposit Cancellation Form
- Federal W-4 Form
- Maryland MW 507 Form
- Identification Badge Request Form
- Employee Tuition Form