HR Forms

Displaying 95 items related to this type. Return to a - z list.

1095-C Tax Form - FAQs

The Affordable Care Act requires employers to issue a 1095-C form confirming if an individual was a... read more
2020 W-4: How to Claim "Single"

This sample document provides instructions on how to complete 2020 W-4 federal tax withholding... read more
2020 W-4: How to Claim Exempt

This sample document provides instructions on how to complete 2020 W-4 federal tax withholding... read more
Additional Compensation for Academic Year Faculty

This form is to be used to grant approval for participation in and payment of additional... read more
Additional Compensation for Calendar Year Faculty

This form is to be used to grant approval for participation in and payment of additional... read more
Additional Compensation Form and Policy for Professional Staff
AFSCME Extension of Sick Leave Application

Request for extension of sick leave form for AFSCME bargaining unit members.
AFSCME Sick Leave Bank Application

The Bank was established to maintain income for SLB members who are on an approved medical leave... read more
Annual Performance Review for Non-Unit Professional Staff

Updated 10/19/2020
Appeal of Position Level Form
BHE/MTA MetLife Dental Insurance Enrollment/Change Form

MetLife Dental Insurance Enrollment/Change Form - BHE/Massachusetts Teachers Association Health... read more
Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave (Family and Medical Leave Act)

The FMLA permits an employer to require that an employee submit a timely, complete, and sufficient... read more
Certification of Health Care Provider for U.S. Department of Labor Employee’s Serious Health Condition (Family and Medical Leave Act)

The FMLA permits an employer to require that you submit a timely, complete, and sufficient medical... read more
Certification of Health Care Provider for U.S. Department of Labor Family Member’s Serious Health Condition (Family and Medical Leave Act)

The FMLA permits an employer to require that you submit a timely, complete, and sufficient medical... read more
Certification of Qualifying Exigency For Military Family Leave (Family and Medical Leave Act)

The FMLA permits an employer to require that you submit a timely, complete, and sufficient... read more
Chancellor's Citation Award Nomination Form

The Division of Human Resources invites the campus community to submit nominations for the... read more
Classification Appeal Form
Connecticut Income Tax Withholding Certificate (CT-W4)

UMass employees who reside in Connecticut use the CT-W4 form to instruct how CT state taxes should... read more
Direct Deposit Form

You may use this form to enroll in Direct Deposit of your paycheck. You may also enroll online (... read more
Employee Family / Medical Leave Checklist

The Employee's Family / Medical Leave Checklist outlines steps an employee takes to request full-... read more
Employer Family / Medical Leave Checklist

Employer Family/Medical Leave Checklist: A guide for departmental supervisors/HR Coordinators that... read more
Enrolling in the Optional Retirement Program (ORP)

This document provides instructions for enrolling in the Optional Retirement Program (ORP) to those... read more
Equity Review Request Form
Family and Medical Leave Act (FMLA) WH-382 Designation Notice

Leave covered under the Family and Medical Leave Act (FMLA) must be designated as FMLA-protected... read more
Family Medical Leave Act (FMLA) WH-381 Notice of Eligibility and Rights & Responsibilities

In general, to be eligible an employee must have worked for an employer for at least 12 months,... read more
Federal W-4 Tax Form

The federal W-4 form is used to indicate how you would like federal taxes calculated for... read more
Form I-9 Instructions for Employees and Notaries Public

This document provides an oveview of the process an employee, and notary public, follow when... read more
Forms for Enrolling in the Optional Retirement Program (ORP)

These are the forms required (and instructions) for an eligible employee to enroll in the Optional... read more
GEO Employee Emergency Technology Relief Fund

The deadline to submit your request was April 15, 2021. We are no longer accepting requests. The... read more
GEO Vacation Payout Request

GEO Vacation Payout Request Form
GIC Dependent Age 19 to 26 Enrollment and Change Form

Use this form to add your dependent age 19 to 26 to your coverage as a new employee, during Annual... read more
GIC Open Enrollment/Change Form 1

The MA Group Insurance Commission (GIC) Enrollment/Change Form 1 is used by GIC-eligible employees... read more
Group Health Continuation Coverage Under COBRA Election Notice and Application

This notice contains important information about your right to temporarily continue your health... read more
Health Insurance Plan Payroll Deduction Authorization Form
Hire Package for Graduate Student Employees

This package is for new graduate student employees. New graduate student employees should complete... read more
Hire Package for Non-Benefited Employees

Hire Package for Non-Benefited Employees Newly hired non-benefited UMass Amherst employees should... read more
Hire Package for Postdoctoral Employees

This package contains hiring forms for, and information related to, new postdoctoral employees.
Hire Package for Undergraduate Student Employees

This package is for new undergraduate student employees for 2021 while the campus is in COVID19... read more
Hiring a Brand New Undergrad Student

The requirements for hiring a brand new undergraduate student employee. (5/4/21)
I-9 Identity and Employment Eligibility Form

All individuals who work in the United States must complete a federal I-9 Identity and Employment... read more
I-9 Identity and Employment Eligibility Form ("paper" version)

All individuals who work in the United States must complete a federal I-9 Identity and Employment... read more
Instructions for I-9 Identity and Employment Eligibility Form

This document provides instructions for completion of the federal I-9 Identity and Employment... read more
International Undergrad Student Employment Information

The requirements for hiring an international student employee. (5/4/21)
MA Group Insurance Commission Employment Status Change Form (Form 1-A)

Please complete the MA Group Insurance Commission (GIC) Employment Status Change Form (Form 1A)... read more
MA Group Insurance Commission Enrollment and Change Form (Form 1)

This form (Form-1) is for enrolling in or changing your election of health, basic life, option life... read more
MA M-4 Tax Form

This form can be completed and submitted to UMass Human Resources in order to change the... read more
Manager Approve Payable Time 9.19
MSP Sick Leave Bank Application

This document provides instructions on how to file an application to the Massachusetts Society of... read more
Multiple Funding Attachment Personnel Action Form

Notification of Reappointment Multiple Funding Attachment Form
New Benefited Employee Hiring forms

These are forms required from all new benefited employees during the onboarding process.
Non-Unit Dental Insurance Plan Enrollment Form

The Non-Unit Employee Health and Welfare Fund offers members an enhanced Indemnity dental plan. In... read more
Non-Unit Dental Open Enrollment Form fall 2020

Non-Unit employees may use this form to enroll for coverage, or change enrollment, in the Non-Unit... read more
Notice of Injury Form

Workers Compensation Notice of Injury Form
Notice of Loudermill Hearing Template
Offer and Acceptance Form

Approved Offer and Acceptance Form for New Appointments: Exempt Staff and Faculty
ORP Enrollment/Change Form

Optional Retirement Plan (ORP) Enrollment/Change Form
Performance Evaluation for Classified Employees

Updated 10/19/2020: Performance evaluation of a classified employee is made annually by the... read more
Performance Management Interim Review Form

For SEIU employees.
Performance Management Planning Worksheet Form

For SEIU employees: Use this worksheet to record goals and work priorities, specify the success... read more
Performance Management Professional Staff Review Form

Updated 10/19/2020
Personnel Action Form

Use this form for faculty and staff hires.
Position Description Form
Position Description Form 30
Position Description Worksheet

This worksheet assists in describing the functions of a position. Complete it when creating a new... read more
PostDoctoral Health Plan Affidavit of Domestic Partnership

This form is required for an eligible UMass Amherst PostDoctoral employee or Fellow to establish... read more
PSU Parental Leave Sick Leave Bank Application
PSU-A Comp Time Form

Exempt Compensatory Time Request Form: Use this form for PSU Unit A Exempt Staff.
PSU/MTA Sick Leave Bank Policy and Application

The Sick Leave Bank was established under the provisions of the collective bargaining agreement (... read more
Reappointment Form for Faculty and Professional Staff

Notification of Reappointment Form for Exempt Faculty and Staff
Reasonable Accommodation Request Form
Release of Applications of External Candidates
Request for Off-Cycle Review Form
Rhode Island Income Tax Withholding Certificate (RI-W4)

UMass employees who reside in Rhode Island use the RI-W4 form to instruct how RI state taxes should... read more
Self Service Time Reporting 9.19
SERV Request Form

This is the State Employees Responding as Volunteers (SERV) request form.
SERV Verification Form

This is the Commonwealth of Massachusetts State Employees Responding as Volunteers (SERV) service... read more
Student Contract

Student Contractual Agreement Form
Student Personnel Action Form
Student Resident Assistant Action Form

Undergraduate Student Resident Assistant Personnel Action Form
Summer Additional Compensation Form for Academic Year Faculty

The purpose of this form is to grant approval and authorize payment for additional compensation for... read more
Time and Labor Correction Form

Time & Attendance Correction Form for Exception Reporting Employees
Time and Labor Late Pay Form

Individual Late Pay Form: Positive Reporting Employee
Tuition Waiver/Remission Form for Benefited UMass Amherst Employees

Benefited University faculty and staff should complete and submit the Tuition Waiver/Remission Form... read more
UMA/PostDoctoral Health Insurance Plan: BCBS New PPO Member Transition of Care Request

Upon initial enrollment in the UMA/PostDoctoral Health Insurance Plan with Blue Cross/Blue Shield (... read more
UMA/Unit B Health Insurance Enrollment form

Eligible AFSCME Unit B employees must complete an Enrollment form and a Deducation Authorization... read more
UMass Amherst/Postdoctoral Enrollment/Add/Termination Form
Undergrad Student Summer 2021 FICA/OBRA Exemption

This form is used to claim exemption from FICA and OBRA for the 2021 summer sessions. (5/4/21)
Undergraduate Student Employment Information

Summer 2021 student employment information and procedures.
University of Massachusetts Statement of Conditional Employment

Employment in many University positions is conditioned upon successful completion of a background... read more
USA MTA Parental Leave Sick Leave Bank Application

This application should be used to apply for income replacement from the USA/MTA Sick Leave Bank... read more
USA MTA Sick Leave Bank Application for Member's Illness

This application should be completed by USA/MTA Sick Leave Bank members to apply for income... read more
USA/MTA Leave Sick Leave Bank Application - Family Member's Illness

This application should be submitted for USA/MTA Sick Leave Bank members who are seeking income... read more
Weekly Time and Attendance Sheet

Weekly Time & Attendance Report for Exception Reporting Employees
Work Schedule Form

The Work Schedule Form allows department employees to request a change to an employee's default... read more
Workers' Compensation "Form 101 - First Notice of Injury" for Absences of 5+ Calendar Days

An employing department must file a completed "Form 101" with... read more

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