The following forms and documents will be useful to you throughout your employment with Intrastaff. If you have any questions or can't find what you're looking for, please call 410-583-2950 or email email@example.com.
To submit completed forms: Unless otherwise noted, fax to 410-847-3659 or email firstname.lastname@example.org .
Employee Handbook (revision in progress) - Comprehensive guide to your employment with Intrastaff, including scheduling, payroll, attendance, dress code, and other procedures.
Intrastaff Policies and Procedures
- Anti-discrimination / Anti-harassment
- Complaint Resolution
- Substance Abuse
- Attendance Policy
- Discipline Policy
Automated Time Tracking Systems: KRONOS and Lawson
- KRONOS Swipe Unit Instructions
- Lawson Clock Swiping Instructions
- Bidding on shifts in Lawson (Clinical Associates and Nurses only)
- Printing of time slips from Lawson System to leave on Hopkins units (CNAs and Companions only)
- Additional information regarding Workforce Management (WFM)
Direct Deposit and Tax Forms
Intrastaff gives employees the option of picking up their check from our office, or having pay deposited directly into their bank account. If you choose direct deposit, a direct deposit authorization form must be submitted with a voided check or deposit slip. Please note that it takes 3 pay cycles to receive direct deposit.
- Direct Deposit Authorization Form (2014)
- Direct Deposit Cancellation
- W-4 Form
- MW 507 Employee's MD Withholding Exemption Certificate
Johns Hopkins Federal Credit Union
All Intrastaff employees may join The Johns Hopkins Federal Credit Union and enjoy all the benefits provided for members. Services that members may choose include free checking, statement savings accounts, ATM machines, telephone banking, interest-bearing checking accounts, money market and certificate accounts, and IRA's. ATM and Visa check cards, first mortgages, home equity loans, and new and used car loans also available.
Elected Benefits Information and Forms
Many Intrastaff employees are eligible for our benefits package that includes medical, dental and disability, among others. Some details about what we offer:
Medical and dental insurance
Intrastaff offers unsubsidized medical and dental benefits from Johns Hopkins Employer Health Programs (EHP) to employees who work an average of 30 hours/week.* Open enrollment period is held in the fall of each year. Benefits are effective January 1 of each year.
If appropriate forms are submitted within designated time frame, benefits begin on the first day of the month following 30 days of employment. The insurance premiums are deducted weekly by Intrastaff on a pre-tax basis. (Benefits details are provided at time of hire.)
*If an insured employee does not meet the criteria of 30 hours/week all calendar quarter, (averaged over 12 weeks), the insurance benefit will be cancelled. Enrollment or voluntary cancellation must be completed during the annual open enrollment period; it cannot be completed during the calendar year. Upon separation, if eligible, insurance may be purchased through COBRA for a total of 18 months. Information will be sent to you in the mail upon separation.
- EHP 2014 Schedule of Benefits
- Benefits Option Waiver Form
- Benefits Open Enrollment Form 2015
- Schedule of Benefits 2015
- Enrollment Application 2015
Family & Medical Leave (FMLA)
The Family and Medical Leave Act (HR 328) requires employers to provide up to twelve (12) weeks of unpaid, job- protected leave to eligible employees for certain family and medical reasons in a rolling 12-month period. FMLA defines family as a spouse, son, daughter or parent. Granted leaves will run along with any other paid or unpaid leave (such as short-term disability, workers' compensation and/or PTO). Reinstatement will result in the return to current position or an equivalent position. Certification by a physician is required and must be received thirty (30) days prior to the expected leave, or within fifteen (15) days of the leave, if the need to take leave was not expected. If you have additional questions, check with your supervisor, contact the HR Service Center or review the FMLA policy in the HR Policy & Procedures Manual online. The forms for applying for FML can be found at
Eligibility: An employee is eligible when he/she has worked for at least one year and for 1,250 hours during the last twelve (12) months.
Criteria for Granting Leave: Leave will be granted for the birth or adoption of a child, care of a spouse, child or parent with a serious health condition or the employee's own serious health condition.
Length of Leave: Length of leave can be broken down in three ways: block of time, intermittently or reduced hours.
Notification: An employee must give thirty (30) days notice, if the leave is expected.
Professional liability insurance
Professional liability insurance coverage is provided for all Intrastaff employees in clinical practice.
401(k) Tax deferred annuity
Intrastaff employees may elect to have a portion of their annual salary deferred into a 401(k) annuity account; contributions are not subject to tax until withdrawn.
For more details on any of our benefits or if you'd like to make an appointment, please call 410-583-2950 or email email@example.com.