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HUMAN RESOURCES FORMS AND BROCHURES INDEX
Note:  For WordPerfect versions, you must save to your computer before opening


Benefits/Retirement Professional Development/Educational Assistance
General Personnel Information Recruitment
Payroll/Leave (includes FMLA) Salary Administration
Performance Evaluation, Discipline, and Grievances Work/Life Balance
BENEFITS AND RETIREMENT
State of Maryland Judiciary-Benefits Provided
Health Benefits Enrollment Forms and Booklet for Current Benefit Year DBM Internet
Other Health Benefit Forms (Affidavits, Claim Forms, Certifications, etc.) DBM Internet
State Retirement Agency: Active Member Forms SRPS Internet
State Retirement Agency: Retiree Forms SRPS Internet
State Retirement Agency: Benefits Handbooks SRPS Internet
Injured Employees/Jurors:
Accident Investigation Forms (Espanol) IWIF Internet Workers Comp Comm.
Authorization for Release of Medical Information IWIF Internet Workers Comp Comm.
GENERAL PERSONNEL INFORMATION
Maryland Judiciary...And Justice for All
Employee Data/Emergency Contact Form (fillable pdf) (Word Perfect) For WordPerfect file, you must save to your computer before opening
Disclaimer for At-Will Employment (Microsoft Word) (pdf)
Exit Interview Form (fillable pdf)
PAYROLL/LEAVE
Central Payroll Forms (W-4, W-5, Direct Deposit, Savings Bonds) Central Payroll Bureau
Application for Bereavement Leave
FMLA:
Application for Family/Medical Leave (pdf) (fillable pdf)
Certification of Health Care Provider (pdf) (fillable pdf)
Approval Notice (pdf) (fillable pdf)
Denial Notice (pdf) (fillable pdf)
Return to Work Medical Certification Form (pdf) (fillable pdf)
Judiciary Leave Donation and Leave Bank: Policy on Leave Donations and the Judiciary Leave Bank
Judiciary Leave Bank Enrollment Form
Medical Certification/Request for Leave Form (fillable pdf)
Judiciary Leave Donation Form (fillable pdf)
Request for Reconsideration of Denial Form
Timesheet (Fillable PDF File) (Instructions) (Conversion Table)
Leave Request Slip (PDF File) (Fillable PDF File)
PERFORMANCE EVALUATION, DISCIPLINE AND GRIEVANCE
Performance Evaluation Form (fillable pdf) (Word-landscape) (Word-portrait)
Appendix A (Exempt Positions): (fillable pdf) (Word-landscape)
Appendix B (Supervisory Positions): (fillable pdf) (Word-landscape)
Grievance and Appeal Form
Request for Review of Termination
PROFESSIONAL DEVELOPMENT/EDUCATIONAL ASSISTANCE
 Application for Court Professional Certification Program - Will be available January 2009
 Application for Court Supervisor/Manager Certification Program - Will be available January 2010
Lending Library Checkout Form
Application for Educational Assistance (Administration of the Educational Assistance Program)
Educational Assistance Reimbursement Form
Course Registration Form (in pdf) (Individual) (group)  
RECRUITMENT
Employment Requisition (in fillable pdf) (in Microsoft Word)
Employment Application (in fillable pdf) (in Microsoft Word)
Interview Questions/Notes Form (in pdf) (in Word)
Interview Log/Recruitment and Selection (pdf) (Word Perfect) For WordPerfect file, you must save to your computer before opening
Authorization for Access to Records
SALARY ADMINISTRATION
Designation of Employee to Function in an Acting Capacity (fillable pdf) Word Perfect For WordPerfect file, you must save to your computer before opening
Position Description Questionnaire (fillable pdf) Word Perfect Microsoft Word For WordPerfect file, you must save to your computer before opening
Guidelines for Submitting Classification and Compensation Actions
 Request for Non-Competitive Reclassification/Interchangeable Actions (fillable pdf) Microsoft Word
Recordation Clerk Transmittal Form (fillable pdf) Microsoft Word
WORK/LIFE BALANCE
Alternate Work Schedule Request Form (fillable pdf)
Telework Agreement and Work Schedule
Telework Remote Site Self-Certification Checklist
Telework Work Plan
Employee Assistance Program Information
Small Jobs Done Well Nomination form
ADR Volunteer Application