Useful Forms

ADJUNCT (CREDIT)

• Enrollment Application (PERS) – Eligibility at third consecutive semester (excluding Summer semester) (PDF)
• Multiple Enrollment Form (PERS) – Immediate eligibility if a PERS participant (PDF)
• Part-Time Employees Group (Chapter 172) – New Jersey State Health Benefits Program Application (PDF)

BARGAINING UNIT CONTRACTS AND MEMORANDUMS OF UNDERSTANDING

• Administrative Association Memorandum of Understanding 2006 – 2010(PDF)
• Administrative Association Contract 2006 – 2010(PDF)
• Faculty Association Memorandum of Understanding 2006 – 2011(PDF)
• Faculty Association Contract 2002 – 2006 (PDF)
• Fraternal Order of Police (FOP) Association Memorandum of Understanding 2006 – 2010 (PDF)
• Fraternal Order of Police (FOP) Association Contract 2006 – 2010 (PDF)
• Professional Association Memorandum of Understanding 2006 – 2009 (PDF)
• Professional Association Contract 2002 – 2005 (PDF)
• Security Association Memorandum of Understanding 2006 – 2009 (PDF)
• Security Association Contract 2002 – 2005 (PDF)
• Support Staff Association (SSA) Memorandum of Understanding 2006 – 2009 (PDF)
• Support Staff Association (SSA) Association Contract 2003 – 2006 (PDF)

DENTAL BENEFITS

• Dental Claim Form (PDF)
• Dental Enrollment Form (Change and Transfer Form) (PDF)
• Student Document Verification Form (PDF)

EMPLOYMENT

• Application for Employment (PDF)
• Direct Deposit Authorization (PDF)
• Employment Eligibility Verification Form (I-9 Form) (PDF)
• Form W-4 (2008) (PDF)
• Reg 2-2 College Volunteers (PDF)
• Salary Reduction Agreement Change Form (PDF)

HEALTH BENEFITS

• Affidavit of Dependency (PDF)
• COBRA RATES (1/1/07 – 12/31/07) (PDF)
• New Jersey State Health Benefits Program Application – Active Employee Group (PDF)
• NJ Direct Claim Form (PDF)
• NJ Direct Prescription Mail-Order Form (PDF)
• NJ Plus Claim Form (PDF)
• Notice of Privacy Practices To Enrollees In the New Jersey State Health Benefits Program (PDF)
• Notice to State Health Benefits Program Participants About Compliance with Federal Health Insurance Requirements (PDF)
• Traditional Plan Claim Form (PDF)

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MEDICAL LEAVE

• Family Medical Leave Act (FMLA) Instructions (PDF)
• Family and Medical Leave Request Form (PDF)
• Your Rights Under the FMLA (PDF)

OPEN PUBLIC RECORDS ACT (OPRA)

• OPRA Request Form with Instructions (PDF)

PENSION

• Application for Retirement Allowance and Instructions (PDF)
• Application for Withdrawal (PDF)
• Designation of Beneficiary (all pension plans) (PDF)
• Loan Application (PERS, PFRS, TPAF) (PDF)
• Purchasing Service Credit (PERS, PFRS, TPAF) (PDF)
• Request For A Retirement Estimate (PERS, TPAF) (PDF)

POLICIES AND PROCEDURES

• Discrimination Complaint Form

TUITION REIMBURSEMENT

• Application For Tuition Reimbursement (PDF)

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