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Forms for all Employees
Benefits Forms Authorization for Investment Choices: 401(a) Basic Retirement Plan (pdf) 2009 Instructions & Voluntary Retirement Plan Salary Reduction Agreement and Authorization for Investment Choices - 403(b) (pdf) We recommend that employees use Employee Self Service to make changes to their 403(b) contribution. Qualified Status Change (pdf) Affidavit of Internal Revenue Service (IRS) Dependent Status for 2009 Medical Plan Fitness Reimbursement Forms (pdf) Tufts Health Plan: Fitness Reimbursement Form (pdf) Harvard Pilgrim Health Care: Fitness Reimbursement Form (pdf) Fallon Community Health: Fitness Reimbursement Form (pdf) Employee Health Insurance Responsibility Disclosure Form 2009 (pdf) Tuition Reimbursement & Remission Forms Staff Tuition Reimbursement - Benefit Application (pdf) Staff Tuition Reimbursement - Request for Payment Form (pdf) Staff Tuition Reimbursement - Document Guide (pdf) Tuition Remission: Application Form (pdf) Tuition Remission Plan Guide (pdf) Tuition Remission Tax Exclusion Form (pdf) Tuition Remission Taxation Guidelines (pdf) Insurance Forms Prudential Statement of Health Form Payroll Services Forms Address/Name Change (pdf) We recommend that employees use Employee Self Service to change their address. For any name changes, please continue to use this form. Employee Background Summary (pdf) Direct Deposit Form (pdf) We recommend that employees use Employee Self Service to make changes to their Direct Deposit Information. W-2 Reorder Form (Word) Federal Form W-4: Employee's Withholding Allowance Certificate (pdf) We recommend that employees use Employee Self Service to change their W-4 Federal Withholding. Form M-4: Massachusetts Employee's Withholding Allowance Certificate (pdf) We recommend that employees use Employee Self Service to change their M-4 Massachusetts Withholding. Attendance Record: 2008-2009 (Excel) Attendance Record: 2009-2010 (Excel) Moving Expense Reimbursement Form (Excel)
Benefits Forms
Payroll Services Forms
Forms for Managers & Department Admins.
New Hire Processing Forms Staff or Faculty New Hire PAF (Word) Employee Background Summary (pdf) Direct Deposit Form (pdf) Federal Form W-4: Employee's Withholding Allowance Certificate (pdf) Form M-4: Massachusetts Employee's Withholding Allowance Certificate (pdf) *NEW* Foreign National Data Form (pdf) Form I-9: Employment Eligibility Verification (pdf) I-9 Handbook for Employers (pdf) *NEW* How to Complete the I-9 Form (video) Affirmative Action Report (Staff Hires Only) (Word) Affirmative Action Report Definition (Word) Job Description Forms Job Description - Open Position - Use this form to replace an incumbent or create a new vacant position (Word) Job Description - Compensation Review - Use this form to request review of an existing position (Word) Request Form for Compensation Review without a job description - Use this form to request a compensation review when the job description is current (Word) Personnel Action Forms (PAFs) & other payroll forms Staff or Faculty New Hire (Word) Change (Word) Supplemental Pay (Word) Separation (Word) Separation Checklist (pdf) Summer Leave Action (Word) Weekly Timesheet - not for New Hires (Word) New Hire Timesheet (Word) ePAF Student Worksheet (Word) ePAF Temporary Employee Worksheet (pdf) PeopleSoft HRMS Account Application (pdf) Performance Development Program Resources @Work Guidebook (pdf) @Work Guidebook FAQ (pdf) Performance Plan Form & Instructions (Word) Performance Review Form (Employee Progress Report) (Word) Employee Performance Summary (Word) Feedback Planner (Word) Customer Input Suggestions (Word) Postdoctoral Associate/Fellow Review Form (Word) Mentoring Program Mentoring Program Application (pdf) Mentoring Program Partnership Plan & Agreement (pdf) Mentoring Program Meal Reimbursement Form (pdf)
New Hire Processing Forms
Job Description Forms
Personnel Action Forms (PAFs) & other payroll forms
Performance Development Program Resources
Mentoring Program
Find out about Tufts' prevention efforts and what you can do.
Tufts H1N1 Website: Learn. Inform. Plan
Centers for Disease Control and Prevention Website
Medford/Somerville Campus Tufts University Human Resources Office 200 Boston Avenue Medford, MA 02155 (617) 627-6272
Boston Campus Tufts University Human Resources Office 200 Harrison Avenue Boston, MA 02111 (617) 636-6600
Grafton Campus Tufts University Human Resources Office 200 Westboro Road North Grafton, MA 01536 (508) 839-7975
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