Forms:

• Massachusetts Employee’s Withholding Exemption Certificate (Form M-4) (pdf)
• Employee’s Withholding Allowance Certificate (Form W-4) (pdf)
• Health Insurance Responsibility Disclosure Form for Non-Benefited Employees
• I-9 Employment Eligibility Verification Information and Form (pdf)
• OBRA Participation Agreement & Information (pdf)
• OBRA Information Sheet (pdf)
• UMass Amhert Employee Data Directive and Privacy & Confidentiality Regulations (pdf)
• Direct Deposit (pdf)

Additional Forms

Please contact the Continuing & Professional Education Academic Programs Office by phone: 413-545-2414 or by email at: This e-mail address is being protected from spambots, you need JavaScript enabled to view it for information on the following HR forms:

• Personnel Datasheet
• Statement Concerning Your Employment in a Job Not Covered by Social Security

Policies:

• UMass Amherst Affirmative Action and Nondiscrimination Policy Statement