Downloadable Forms

Unless Otherwise noted, all forms are in Adobe Acrobat PDF format. Visit the Adobe Acrobat download site to obtain the free Acrobat Reader application for your computer.

Employment

• Employee Referral Form
• Automatic Deposit Authorization (Direct Deposit)
• Tax Withholding Allowance Certificate (Form W4)
• US Employment Eligibility Verification (Form I-9)

Leave From Campus (LFC) Reports [MS Excel]

• 2008 Individual LFC
• 2008 Departmental LFC
• 2007: JAN | FEB | MAR | APR | MAY | JUN | JUL | AUG | SEP | OCT | NOV | DEC

Health and Dental Care

• Tufts Health Plan Enrollment Form
• Tufts Dependent Certification Form
• Commonwealth of Massachusetts Employee Health Insurance Responsiblity Disclosure (HIRD) Form
• Employee Request for Family and Medical Leave
• FMLA Certification of Health Care Provider
• Delta Dental Enrollment Form
• Flexible Spending Account Enrollment Form
• Flexible Benefits Plan: Medical Reimbursement Request
• Flexible Benefits Plan: Dependent Care Reimbursement Request

Life Insurance

• Aetna Designation of Beneficiary Form

Tuition Benefits

• Application for Tuition Remission [MS Word]
• Tuition Remission Eligibility Certification [MS Word]

Employment Related Forms

• Instructions for Using the Electronic Job Requisitions [MS Word]
• Job Requisition for Temporary Positions [MS Word]
• Upgrade Requisition: Employee Change[MS Word]
• Job Description Questionnaire
• Job Description Template (Updated July 2008) [MS Word]
• Application for Employment [MS Word]

Performance Evaluation and Development Plan

• 2008 Performance directions essential functions and job competencies combined [MS Word]
• Personal Competencies Performance Evaluation FY08 [MS Word]