Health Benefit Forms
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Enrollment Form-Active & Satellite Employee 2009-2010
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Enrollment Form-Direct Pay 2009-2010
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Enrollment form Retirees 2009-2010
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Affidavit of status for all dependent children
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Affidavit for
Domestic Partners |
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Disabled Dependent Certification Form
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HIPPA Authorization Form
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Mail Order Prescription Form
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Met Life Life Insurance Beneficiary Designation Form
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Met Life AD & D Plan Beneficiary Designation Form
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Met
Life Statement of Health Form
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SHPS Dependent Care Spending Account Claim Form
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SHPS Health Care Spending Account Claim Form
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Employee
Assistance Program |
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Employee Assistance Program |
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Confidential EAP Supervisory Referral Form |
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Employee Safety & Risk Management Forms |
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Employee's Claim Form C-1 - Workers' Compensation Commission
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Accident
Leave Policy
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Emergency Contact Form (optional)
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Temporary Prescription Services ID Important Benefit Information
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Crosswalk Incident Report |
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Accident
Follow-up Report |
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First Report of Injury or Illness |
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Employee Report of Injury
(English) |
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Employee Report of Injury
(Spanish) |
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Workplace Potential Hazard Report |
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State of Maryland Domestic Violence Policy |
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Accommodations for Persons With Disabilities Forms |
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Voluntary Request for Reasonable Accommodation |
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Telework & Compressed Work Week Forms
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Department of Natural Resources Telework Policy
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Maryland State Teleworking Agreement
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Department of Natural Resources Teleworking Agreement
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Monthly Telework Reporting Form
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Telework Hours Reporting Form
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Telework Laptop Sign-Out Sheet
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Guidelines for Signing out Teleworking Laptops
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Department of Natural Resources Compressed Work Week Agreement
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Telework Eligibility Checklist
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Telework Schedule
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Financial Disclosure Forms |
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Receipt of Disclosure Forms
More info at http://ethics.gov.state.md.us/ |
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Training Forms |
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EDTI Training Registration Form |
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Application For Out Service Training Authorization
- 551 form |
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Career Development Plan |
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Tuition Reimbursement - OS2 |
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Acting Capacity and Vacancy Fill Forms |
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Designation Of Employee To Function In An Acting Capacity - MS 345
New |
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Interview Form |
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Memo to Vacant Position Revised Form |
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DBM Hiring Freeze Exception Request
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Grievance & Disciplinary |
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Individuals Delegated to Act on Behalf of the Appointing Authority
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Confidential EAP Supervisory Referral Form
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Mediation
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Notice of Disciplinary Action
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Unsatisfactory report of service
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State Personnel Management System Appeal and Grievance Form
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Notice of Termination
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Change in Bargaining Status |
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Managerial Employee Affidavit |
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Supervisory Employee Affidavit |
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Confidential Employee Affidavit |
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Performance Planning and Evaluation Program |
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Revised PEP Forms: Skilled and Professional Positions
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Original PEP Forms
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Management Employees (Exec) |
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Non-Supervisory Employees (Exec) |
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Supervisory Employees (Exec) |
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Performance Improvement Plan |
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Supervisor Feedback Instrument |
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Staffing, Recruitment and Cutoff Forms |
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Employment Cut-off (Internal Form)
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Probationary Evaluations |
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State of Maryland Performance Planning and Evaluation Program Probationary Evaluation Form
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Hiring Appointment Package |
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New Hire
Appointment Package Check-off Form |
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Interview Form |
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Reference Check Form |
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DNR 1 Transaction Form |
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Verification of Qualifications Form |
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Maryland New Hire Registry |
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Offer of Employment Letter |
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Recruitment Information |
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Position Announcement for
Contractuals |
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Position Announcement (PIN) |
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Position Announcement (Seasonal) |
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Information about Seasonal Hires |
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Position Announcement (Position Specific) |
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Position Announcement (Preferred Experience) |
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Contractual Conversion Package |
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Contractual Conversion Check-Off Form |
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Summary of Service |
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DNR 1 Transaction Form |
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Verification of Qualifications Form
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Interview Form |
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Memo to Vacant Position Revised Form |
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Contractual
Hire Documentation |
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Contractual
Check-Off Form |
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VFR Document |
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Position Announcement
Contractual Master |
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Position Announcement Template
- Seasonal Contractual |
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Newspaper Ad Master |
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Interview Form |
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Reference
Check Form |
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VFR Hiring
Package |
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VFR Check-Off List for Regular Hire |
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Position
Announcement Form
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Interview Form |
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Memo to Vacant Position Revised Form |
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Reclassification Forms |
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MS 44 Reclass Question
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MS 2024 Reclass Request Form
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State Application - MS 100
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Instructions for Completing Position Description Form MS 22
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MS 22
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Employee Factor Evaluation |
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Managerial Employee Affidavit |
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Supervisory Employee
Affidavit |
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DNR 1 Transaction Form (Reclass, Transfer) |
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DNR Reclass Screening Report |
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DNR Reclass Check List
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Eligibility Criteria Form |
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State Transportation Forms
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State Employee Transportation Survey |
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Free State Employee Transportation Policy |
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Change of Address Forms |
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Change of Address
(DNR/HRS form) |
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Change of Address
(Central Payroll Bureau form) |
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Change of Address
(Health Benefits)
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Travel Management |
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Travel Management |
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Expense Account Form 2009 27.5 cents per mile |
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Expense Account Form 2009 55 cents per mile |
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NOTES:
1- Both the DNR/HRS and Central Payroll Bureau forms must be completed.
2- If you are enrolled in any health benefits, complete the
Health Benefits Change Address form below.
3-
All forms should be submitted to HRS for processing and routing to appropriate entities. | |