Human Resources Forms
- Accommodation Request Form/Statement of Workplace Needs (PDF)
- 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)
- CORI/SORI Acknowledgement Form
- Demographic Change Form
- Emergency Contact Form (Dynamic Form)
- Fitchburg State Continuous Payroll Direct Deposit Contribution Authorization Form (PDF)
- Internal Transfer Form
- Interview Exchange Employee Access Request Form (job site access)
- Name Badge Request Form (Dynamic Form)
- New Hire Form
- Payroll Public Records Exemption Form (PDF)
- Position Vacancy Form
- Reclassification Packet (AFSCME) (PDF)
- Separation Notification Form
- Separation Notification Form - students
- Student Clearinghouse Authorization (PDF)
- Tuition Remission Form (PDF)
- Tuition Remission Form - Fitchburg State University Classes ONLY (Dynamic Form)
COVID Forms
- Request a Reasonable Accommodation Due to COVID
- Alternate Work Option Request (COVID)
- Faculty and Staff Travel/Self Isolation
- Symptom Monitoring Form
Payroll Forms
Employee Forms
- Direct Deposit (MS Word)
- 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)
- M-4 (State Tax Form)
- I-9 (Employment Eligibility Verification Form) (PDF)
Part-Time Contractor Employment Forms
- Standard Contract
- Commonwealth Terms and Conditions
- OBRA Enrollment Form (Mandatory) (PDF)
- OBRA Enrollment Form (Voluntary) (PDF)
- OBRA Beneficiary Form (PDF)
- Exempt from OBRA Form (PDF)
- SSA - 1945 Form (PDF)
- Rehire/Transfer Notification Form
- Payment Voucher
Student Employment Forms
- Direct Deposit (MS Word)
- I-9 (Employment Eligibility Verification Form) (PDF)
- Student Employment Authorization
- M-4 (State Tax Form)
- W-4 (Federal Tax Form)
- W-4 Student Guide (PDF)
- OBRA Mandatory Enrollment Form (students working during the summer and not enrolled in summer classes) (PDF)
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