Forms

Personnel Forms 
Direct Deposit Form [PDF] 
M-4 Massachusetts Withholding Tax Form [PDF]
Personal Data Form [PDF]  
W-4 Federal Witholding Tax Form [PDF]

Insurance Forms
APA and MSCA Dental Form [PDF]
GIC Insurance Enrollment and Change Form [PDF] 
Non-Unit Dental Form [PDF] 
Insurance Enrollment and Change Form [PDF]  
Group Health Continuation Coverage under COBRA General Notification Form [Word doc]
HIPPA Notice of Portability Rights [PDF]
Insurance Data Form (IDF) [PDF]
Dependent Age 19 or Over Application for Coverage [Word doc] 
Employee Acknowledgement Form [PDF]
Active Employee Benefit Decision Guide 
Insurance Data Form (IDF) [PDF]

Hiring Forms
Contract Hiring Form 6C09 6A15 6C01 [PDF]
Authorization for Temporary Employment [PDF]

New Position Classification Memorandum [Word doc]

New Position Upgrade Memorandum [Word doc]

 

Holiday Break Forms

Designation of Holiday Break Essential Personnel (A) [PDF]

Holiday Break Leave Usage (B) [PDF]

APA Request for Flexible Scheduling Holiday Break 2014 (C) [PDF]

Non-Unit Administrators Request for Flexible Scheduling (D) [PDF]

Examples of Timesheet Entries for Holiday Break Accruals AFSCME and NUC [PDF]

Hours Breakdown for Holiday Pay Back

Other Forms

APA Request for Flexible Scheduling [Word doc] 
Health Insurance Responsibility Disclosure (HIRD) Form [PDF] 
OBRA Beneficiary Change Form [PDF]
OBRA Change Form [PDF] 
OBRA Enrollment Form [PDF] 
Permission to Enroll in Class During Working Hours [PDF]

Request for Leave Form [PDF]
Social Security (SSA-1945) [PDF]
User Support Policy [PDF]

Maintenance Review Form [PDF]

Request to Appeal Classification of Position [PDF]