Forms

Below is a sortable table of forms required by University Human Resources (UHR) for the many programs and services available to University of Maryland College Park employees.  If you have a question about how to fill out or the use of a form, please contact the respective office or by email at UHRConnect@umd.edu.

*Open PDF forms in Adobe Acrobat to enable fillable form features disabled when viewing PDF in a browsers.  If you do not have Adobe Acrobat, it is available from Terpware under Design & Production

Use the search box to narrow the listing of forms or use the drop down filters to view forms by a specific department or type.

OfficeTypeFormDownload
BenefitsHealthContract RenewalPDF
BenefitsHealthAddress/Name ChangeOnline
BenefitsFlexible Spending Account (FSA)P&A Group Claim Form (Dependent Daycare and Healthcare)Download
BenefitsState Retirement Pension (SRP)Pension Enrollment Form (Faculty / Exempt)PDF | E-Sign
BenefitsState Retirement Pension (SRP)Pension Enrollment Form (Nonexempt)PDF | E-Sign
BenefitsState Retirement Pension (SRP)Pension Pre-Retirement ChecklistDownload
BenefitsSupplemental Retirement Account (SRA)Maryland Supplemental Retirement Plans 401 / 457b / 403b Rollover FormOnline
BenefitsSupplemental Retirement Account (SRA)Maryland Supplemental Retirement Plan 401k / 457b / 403b Change FormOnline
BenefitsSupplemental Retirement Account (SRA)Maryland Supplemental Retirement Plan 401k / 457b / 403b Enrollment FormOnline
BenefitsSupplemental Retirement Account (SRA)403b TIAA (SRA) Enrollment / Deduction Change FormDownload
BenefitsSupplemental Retirement Account (SRA)457b TIAA (SRA) Enrollment / Deduction Change FormDownload
BenefitsSupplemental Retirement Account (SRA)403b TIAA (ROTH) Enrollment /Change FormDownload
BenefitsSupplemental Retirement Account (SRA)403b Fidelity (SRA) Enrollment / Deduction Change FormDownload
BenefitsSupplemental Retirement Account (SRA)457b Fidelity (SRA) Enrollment / Deduction Change FormDownload
BenefitsSupplemental Retirement Account (SRA)403b Fidelity (ROTH) Enrollment / Download
BenefitsOptional Retirement Program (ORP)ORP Enrollment FormsPDF | E-Sign
BenefitsOptional Retirement Program (ORP)Checklist of ORP Pre-Retirement Action ItemsDownload
BenefitsLife/DisabilityState of Maryland MetLife EnrollmentSPS Login
BenefitsLife/DisabilityState of Maryland MetLife Evidence of InsurabilityMailed to Employee by MetLife
BenefitsLife/DisabilityState of Maryland MetLife Beneficiary DesignationDownload
BenefitsLife/DisabilityState of Maryland MetLife PortalLogin
BenefitsLife/DisabilityUSM MetLife Enrollment PortalOnline
BenefitsLife/DisabilityUSM MetLife Evidence of InsurabilityOnline
BenefitsLife/DisabilityUSM MetLife Beneficiary DesignationOnline
Employment - CompensationActing/Administrative WorksheetDownload
Employment - Compensation Employment ContractContingent I (Health Benefits Eligible)Download
Employment - CompensationEmployment ContractContingent I (Not Eligible for Health Benefits)Download
Employment - CompensationEmployment ContractContingent II Nonexempt (Health Benefits Eligible)Online
Employment - CompensationEmployment ContractContingent II Nonexempt (Not Eligible for Health Benefits)Online
Employment - CompensationEmployment ContractContingent II Exempt (Health Benefits Eligible)Online
Employment - CompensationEmployment ContractContingent II Exempt (Not Eligible for Health Benefits)Online
Employment - CompensationContingent II COLA AddendumE-Sign | Word
Employment - CompensationManager's ToolkitOnline
Employment - CompensationComp Analysis-Equity GridDownload
Employment - CompensationStaff Overload Worksheet (Teaching)Download
Employment - CompensationStaff Overload Worksheet (Non-Teaching)Download
Employment - CompensationPosition Description FormDownload
Employment - CompensationSalary Increase ApprovalDownload
Employment - CompensationStudent Wage Exemption FormDownload
Information ServicesThe 3 D's List RequestOnline
Information ServicesInstructions for Employees with Prior State ServiceOnline
Information ServicesRequest for Employee Designee Affiliate FormOnline
Information ServicesPHR Data Request FormOnline
Information ServicesMailing Label Request FormOnline
Information ServicesUM Data Warehouse Account Request FormOnline
Leave ManagementLeaveReturn to Work CertificationDownload
Leave ManagementLeaveAdvanced Sick LeaveOnline
Leave ManagementLeaveAdvanced Annual LeaveDownload
Leave ManagementLeaveExtended Sick LeaveDownload
Leave ManagementLeaveFaculty Leave InformationOnline
Leave ManagementLeaveFaculty and Staff Family and Medical LeaveOnline
Leave ManagementLeaveCertification of Healthcare Provider Form (Employee)Download
Leave ManagementLeaveCertification of Healthcare Provider Form (Family Member)Download
Leave ManagementLeaveLeave Reserve Fund RequestDownload
Leave ManagementLeaveLeave of Absence Without PayDownload
Leave ManagementLeaveMilitary Leave Recording ProceduresDownload
Leave ManagementLeaveFaculty and Staff Parental LeaveOnline
Leave ManagementLeaveFaculty and Staff Accommodation RequestPDF
PayrollFormAddress/Name ChangeOnline
PayrollFormPay Advance & Recovery FormDownload
PayrollFormApplication for Social Security CardOnline
PayrollFormDirect DepositOnline
PayrollFormNRA ResourcesOnline
PayrollFormW-4 Employee Withholding AllowanceOnline
PayrollFormEWAC ProceduresPDF
PayrollFormEWAC Form for Employees Working More Than 50% in Other StatesPDF
PayrollFormLinks To State Forms - Working Over 50% in Other StatesPDF
Staff RelationsPRDPRD FormsOnline
Staff RelationsFFD ChecklistDownload
Staff RelationsGrievance FormDownload
Staff RelationsDisciplinary Suspension FormDownload
Staff RelationsImmediate Termination of Access Form - Involuntary SeparationOnline