Benefits Forms
Leave of Absence Forms
- Request for FMLA or Non-FMLA Leave of Absence
- Request for Other Leave of Absence
- PFML Certification of Your Serious Health Condition 2024
- PFML Certification of Your Family Member’s Serious Health Condition 2024
- Certification of Health Care Provider for Employee’s Serious Health Condition FMLA 2026
- Certification of Health Care Provider for Family Member’s Serious Health Condition FMLA 2026
- Sick Leave Bank Donation
- Sick Bank Withdrawal
Personal Data Forms
- Direct Deposit Changes
- MassHR Employee Information Change Form
- Personal Update Form
- Reference Release Form
- W-4 Form (Federal Tax)*
- M-4 Form (State Tax)*
*Your W-4 and M-4 can be viewed and updated online via your SSTA profile. Click the Payroll tile.
Other Forms
- Business Card Order Form (CPCS logo)
- Business Card Order Form (Investigator)
- FJA Business Card Form
- Blood Donation Verification Form
- Incident Report Form
- Intern Volunteer Form
- Supervisor IT Form for Interns
- Performance Evaluation Forms
- Qualified Transit/Parking Benefit Enrollment*
- Community Engagement and School Volunteer/Mentoring Form
- Temporary Worker Request Form
- Tuition Remission Certificate
- Remote Work Forms
CPCS Flexible Work Arrangement
- CPCS Flexible Work Arrangement Form
- CPCS Flexible Work Arrangement Guidelines
- Flexible Work Arrangement Planning Tool
- CPCS Flexible Work Arrangement FAQs
*A hard copy should be forwarded to HR following submission online.