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Not all forms are available online.
If you do not see the form you are looking for please contact Human Resources
at (413) 585-2270 and a paper form can be sent to you via campus mail.
Open Enrollment Forms
2013 Open Enrollment Form
Benefit Strategies FSA
Enrollment Form
Harvard
Pilgrim Enrollment Form
Delta
Dental Enrollment Form
Dependent
Eligibility Form
Benefit Forms
Benefit Strategies FSA Direct Deposit Form
Benefit Strategies FSA
Enrollment Form
Benefit Strategies FSA Reimbursement Form
Delta
Dental Enrollment Form
Dependent
Eligibility Form
Harvard
Pilgrim Enrollment Form
Harvard Pilgrim Mail Order Prescription Form
Life Insurance Enrollment and Beneficiary Form
Transit Reimbursement Form
Benefited Leave Forms
Request for Leave - Adoption
Request for Leave - Family
Request for Leave - FMLA
Request for Leave- Parental
Request for Leave - SNLA
Request for Leave - Without Pay
Staff Affidavit for Parental Leave
Employment Forms
Casual Worker Questionnaire
Equal Opportunity Complaint Filing
Online
Directory Change Form
Outside
Consulting Authorization Form
Position Modification Form
Request for Reasonable Accommodation (ADA)
Medical Leave Forms
Medical
Leave Application
Physician's
Return to Work Approval
Physician's
Statement
Name Change Forms
Professional Name Change Request
M4 - Massachusetts Withholding Form
W4 - Federal Withholding Form
Direct Deposit Form
Payroll Forms
Can be found on the Controller's Web site
under Forms.
Retirement Forms
2012 Salary Reduction Agreement (SRA)
Tuition Benefit Forms
Center
for Early Childhood Education
Employees'
College Age Dependents
Employees'
Tuition Reimbursement
Employees' or Spouse/Partner at Smith
Tuition
Exchange
Workers Compensation Forms
First Report of Injury/Accident Form
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