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Benefit Forms

Visa/Non-resident Aliens Forms

Performance Evaluation Forms

Appointment Forms

Worker's Compensation Forms

 

New Hire Forms

PAID APPOINTMENTS

- Appointee Information Form

- PHR Appointment Action Form

- UMBI W-4 Form

- Employment Eligibility Verification Form (I-9)

- Payroll Direct Deposit Authorization Form

- MD New Hire Reporting Form

- IP Assignment & Confidentiality Agreement (signed)

- Parental Consent Statement (if applicable)

- UMBI Department of Defense Reporting Form

- Maryland Substance Abuse Policy Memorandum

- Citizenship Documents (if applicable)

- UMCP ID Card Request Form (if required)

- Signed Offer Letter, Contract, or Faculty Agreement

NON-PAID APPOINTMENTS

- Appointee Information Form

- PHR Appointment Action Form

- Visitor/Volunteer Agreement (signed)

- Parental Consent Statement (if applicable)

- UMBI Department of Defense Reporting Form

- Maryland Substance Abuse Policy Memorandum

- Signed Appointment Offer Letter (Faculty only)

 

Benefit Forms

- New Hire Benefit Information Sheet

Health Benefit Forms

- 2008-09 Active Employee Benefits Enrollment Form

- 2008-09 Direct Pay Benefits Enrollment Form (COBRA, PT, CONTRACTUAL)

- 2008-09 Retiree Benefits Enrollment Form

- Affidavit for All Eligible Dependent Children (Effective 7/1/08 - see FAQ's& Required Docs)

- Benefit Change of Name/Address Form

- Flexible Spending Claim Form for Dependent Care Accounts

- Flexible Spending Claim Form for Healthcare Accounts

Tuition Remission Forms

- Tuition Remission Request Form

Life & Disability Forms

- UNUM Life Insurance Beneficiary Form

- UNUM Life & LTD Enrollment Form

- UNUM Evidence of Insurability Form

- MetLife AD&D Beneficiary Form

- MetLife Group Life Beneficiary Form

- MetLife Statement of Health Form

Retirement Forms

- Optional Retirement Plan (ORP) Selection Form

- 403(b) TIAA-CREF Supplemental Enrollment/Change Forms

- 403(b) Fidelity Supplemental Enrollment/Change Forms

- 457(b) TIAA-CREF Supplemental Enrollment/Chang Forms

- 457(b) Fidelity Supplemental Enrollment/Change Forms

 

Visa/Non-Resident Aliens

If you have any specific questions regarding visa and or non-resident alien forms or information, please contact the HR Representative within your center.

J VISAS

- Exchange Visitor Info Form

- DS-2019 Data Form

- Evacuation/Repatriation (mandatory)

H VISAS

- I-129 Form

- Evacuation/Repatriation (optional)

Additional Forms

- W-8 BEN Form

- W-9 Form

- W-9 Attachment (Tax Treaty)

- 8233 Form

- Citizenship Status Form 2008

- Citizenship Status Form 2007

- Application for a Social Security Card

- Affidavit of Compliance

- List of Required Forms

Performance Evaluation Forms

Below are the PMP forms for faculty and staff. The staff forms are available in both Adobe and Word formats. Please note there are differences in the functionality and saving processes for each different format. If you are a reviewer, please read the PMP Guide for Managers and Supervisors for more detailed information on the process.

Exempt and Nonexempt Staff

Adobe PDF Format

(Note- Forms cannot be saved in Adobe Reader)

- UMBI PMP Form

 

- PMP Form with Operational Objectives Form

 

- PMP Form with Manager/Supervisor Form

 

- PMP Form with Manager/Supervisor & Operational Objectives Forms

MS Word Format

(forms may be saved - MS Word & Excel)

 

- UMBI PMP Form

 

- PMP Section 3, Man/Sup Performance Factors

 

- PMP Section 4, Operational Objectives

 

- General Ratings Worksheet

 

- Introduction to Alternative Objective Weights

 

- Alternative Objectives Worksheet

 

Faculty Performance Evaluation Process

- Faculty Performance Evaluation Instructions

- Faculty Performance Evaluation Transmittal Form

 

Resource Materials:

- Narrative Samples

 

- Consulting & Outside Professional Services Policy Summary

 

- Conflict of Interest in R&D Policy Summary

Appointment Forms

The following forms are for internal use only

- Classification Action & Search Form

- Position Description Form (Attach Org Chart)

- Draft of UMBI Job Posting

- Draft of Ad (if applicable)

- UMB Position Requisition Form (IHV, MBC, COMB, and CA)

- UMCP Requisition for List of Eligibles (CARB, CBR)

Offer Forms

- Authorization to Offer Appointment

- Applicant Tracking Form

- Contingent I Employment Contract (Contingent I Only)

- Contingent II Employment Contract (Contingent II Only)

- UMB Referral Selection Form (For COMB, MBC and Central Non-exempt positions only)

- Tenure Track Agreement

- Non-Tenure Agreement

Student Appointment Forms

- Hourly Student Rate Structure & Rules

- Hourly Student Agreement

- Student Employment Application (PDF Version)

- Student Employment Application (Word Version)

Worker's Compensation

- Employee's First Report of Injury

- Supervisor's Accident Report

- Accident Witness Statement

 

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