BENEFITS AND RETIREMENT
- Maryland Judiciary Benefits Overview
- Health Benefits Forms for Current Benefit Year DBM Internet
- Health Benefit Information (includes link to booklet) DBM Internet
- Health Benefits Acknowledgement for New Employees (Regular)
- Health Benefits Acknowledgement for New Employees (Contractual)
- State Retirement Agency: Member Forms SRPS Internet
- State Retirement Agency: Benefits Handbooks SRPS Internet
- Beneficiary Forms
CLASSIFICATION AND COMPENSATION ADMINISTRATION
- Designation of Employee to Function in an Acting Capacity (via Connect)
- Acting Capacity Application
- Position Description Questionnaire (PDQ)
GENERAL INFORMATION
- On-Boarding Checklist for AOC Employees
- Offboarding Checklist (pdf)
- Exit Interview Form (online form)
- Disclaimer for At-Will Employment (pdf)
- Confidentiality Agreement
- Volunteer Agreement
- ADA Accommodation Requests for State-paid Judiciary employees are submitted in CONNECT ADA Request Form.
- Injured Employees/Jurors: Insurer Internet
Accident Investigation Forms
Authorization for Release of Medical Information IWIF Internet
Temporary Prescription Card IWIF Internet
PAYROLL/FMLA
- Central Payroll Forms (W-4, W-5, Direct Deposit, Savings Bonds) Central Payroll Bureau
- FMLA:
- Certification of Health Care Provider for Employee's Serious Health Condition Form, Form WH-380-E
- Certification of Health Care Provider for Family Member's Serious Health Condition Form, Form WH-380-F
- Certification of Qualifying Exigency for Military Family Leave (http://www.dol.gov/esa/whd/forms/WH-384.pdf)
- Certification for Serious Injury or Illness of Covered Servicemember-for Military Family Leave (http://www.dol.gov/esa/whd/forms/WH-385.pdf)
- Employee Rights and Responsibilities Under FMLA (http://www.dol.gov/esa/whd/forms/WH-382.pdf)
- Period Reporting Form (in Microsoft Excel)
PERFORMANCE EVALUATION, DISCIPLINE AND GRIEVANCE