Human Resources Forms
- AFLAC Cancellation Form (PDF)
- AFSCME Grievance Form (Dynamic Form)
- APA Bi-Annual Report to Administrative Area Supervisor (Employee)* (MS Word)
- APA Annual Performance Narrative Form (Supervisor)*(MS Word)
- Blood Donation Leave Form for Commonwealth of Massachusetts Employees (MS Word)
- CORI/SORI Acknowledgement Form (Dynamic Form)
- Emergency Contact Form (Dynamic Form)
- Fitchburg State Continuous Payroll Direct Deposit Contribution Authorization Form (Dynamic Form)
- Internal Transfer Form (Dynamic Form)
- Name Badge Request Form (Dynamic Form)
- New Employee Data Form (AFSCME) (Dynamic Form)
- New Employee Data Form (APA/MSCA/NUP) (Dynamic Form)
- New Position Request/Replacement (Faculty Only)
- New Position Request/Replacement - Non-Faculty Only (Dynamic Form)
- Payroll Public Records Exemption Form (PDF)
- Personal Information Change Form (Dynamic Form)
- Reclassification Packet (AFSCME) (PDF)
- Rehire/Transfer Form (Dynamic Form)
- Request for Reasonable Accommodation Form (Dynamic Form)
- Separation Notification Form - Non-Benefitted Employees (Dynamic Form)
- Separation Notification Form - Students (Dynamic Form)
- Student Clearinghouse Authorization (PDF)
- Tuition Remission Form (PDF)
- Tuition Remission Form - Fitchburg State University Classes ONLY (Dynamic Form)
Flexible Work Arrangement Forms
- Departmental Flexible Work Arrangement Form (Dynamic Form)
- Department Flexible Work Modification Request Form (Dynamic Form)
- Employee Flexible Work Arrangement Form (Dynamic Form)
- Employee Flexible Work Modification Request Form (Dynamic Form)
- Flexible Work Arrangement Policy (PDF)
COVID Forms
- Booster Vaccination Attestation Form (Google Doc)
- Symptom Monitoring Form (PDF)
Payroll Forms
Employee Forms
- Direct Deposit (PDF)
- Post-Retirement Statement of Earnings (PDF)
- Post Retirement Maximum Earnings Calculation Examples (PDF)
- Salary Reduction Agreement Form 403(b) (PDF)
- State Board of Retirement Contractor Service Buyback (PDF)
- W-4 (Federal Tax Form) (PDF)
- M-4 (State Tax Form) (Dynamic Form)
- I-9 (Employment Eligibility Verification Form) (PDF)
Part-Time Contractor Employment Forms
- Standard Contract (Dynamic Form)
- Commonwealth Terms and Conditions (PDF)
- OBRA Enrollment Form (Voluntary) (PDF)
- OBRA Beneficiary Form (PDF)
- SSA - 1945 Form (PDF)
- Payment Voucher (Dynamic Form)
- Upward Bound Standard Contract (Dynamic Form)
Student Employment Forms
- Direct Deposit (PDF)
- I-9 (Employment Eligibility Verification Form) (PDF)
- Student Employment Authorization (Dynamic Form)
- M-4 (State Tax Form) (Dynamic Form)
- W-4 (Federal Tax Form) (PDF)
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