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