Benefits

• Adoption Assistance Program Application

• Beneficiary Designation/Change Form (Original Required)

• For change of address, have your department manager submit an ISR.

• Dependent Child Tuition Program Application (Original Required)

• Domestic Partnership Affidivat (Original Required)

• EHP Medical or Vision Claim (Send to EHP)

• EHP Dental Claim (Send to EHP)

• EHP Orthodontic Claim (Send to EHP)

• EHP Short-Term Disability Claim Form (Send to EHP)

• EHP Short-Term Disability Fact Sheet 

• Family and Medical Leave (FML) 

• Flexible Spending Account Claim Form 

• MTA/Commuter Plus Deduction Authorization

• MW 507 Maryland Withholding Exemption Certificate

• Parents In A Pinch Registration Form
  > www.parentsinapinch.com

• PTO Transfer Form

• Tuition Assistance Application (Original Required)

• W-4 Form Withholding Allowance Certificate

Community Partnerships

• LINC Nurse Manager Recommendation Form

• STEP Manager Recommendation Form

Compensation

• How to Write a Job Description

• Personnel Action Form and PaperLite Process

Employee Records

• Direct Depost Cancellation (Original required)

• Direct Deposit Payroll (Original required)

• Performance Review Summary Sheet (Original required)

Equal Opportunity/Diversity

• EEO Complaint Intake Form

Consulting/Labor Relations

• Disciplinary Action Form

• Employee Appeals Process Form (Non-Bargaining Unit)

• Shift Preference Form

• Attendance Tracking Form

• Personal Tool List Form

• Medical Accommodation Request Form

• Religious Accommodation Request Form

Jobs

• Applicant Referral Selection Form 

• Release for Verifications

• Employee Referral Program Form 

• Promotional Bid & Transfer Form 

• Staff Request Patient Care Policy Form

Organization Development and Training

• Great Job! Reward Card

• Excellent Job! Reward Card

Training / Education

• Employee Tuition Assistance Program Application 

• LINC Nurse Manager Recommendation Form

• STEP Manager Recommendation Form