Forms

Human Resources

TopicFormEntity
Reporting Child Abuse and Neglect

State of Maryland-Child Protective Services Report of Suspected Child Abuse/Neglect

Important Information:
DCPS Reporting Procedures (PDF)
DCPS Child Abuse and Neglect FAQ (PDF)
DCPS Reporting Child Abuse and Neglect Handbook (PDF)

MD DHS
 Change of Address Name Address Change Form (PDF) or Employee Access Center  DCPS

Benefits

TopicFormEntity
Healthcare Application BCBS Application (PDF) BlueCross BlueShield
FSA Application 2014 FSA Enrollment Form (PDF) HFS Benefits
FSA Medical Reimbursement FSA Medical Reimbursement Form (PDF) HFS Benefits
FSA Dependent Care Reimbursement Form FSA Dependent Care Reimbursement Form (PDF) HFS Benefits
Life Insurance Beneficiary Designation

Prudential Benefits

In the Control Number field, please enter 51586

Prudential
Tuition Reimbursement DCPS Course Approval and Reimbursement (PDF) DCPS

Workers' Compensation

TopicFormEntity
Decision tree Employee Injury Decision Tree (PDF)  DCPS
Employee Injury Report Employee Injury Report MABE (PDF)  DCPS
Supervisor Report Supervisor Injury Report MABE (PDF)  DCPS

Payroll

TopicFormEntity
Federal Tax Withholding Form W-4 (2017) (PDF)  Federal
Employee’s Maryland Withholding Exemption Certificate MARYLAND FORM MW507 (PDF)  State
Direct Deposit Authorization Direct Deposit Authorization Agreement Form (PDF)  DCPS
Summer Savings DCPS Summer Savings Form (PDF)  DCPS
20/24 Pays (10 month/12 month) DCPS 24 Pay Plan Form (PDF)  DCPS
Support Employee Salary Change Support Employee Salary Change Form (PDF)  DCPS
Ten-Month Employee Work Calendar Ten-Month Employee Work Calendar (PDF)  DCPS
Eleven- and Twelve-Month Employee Work Calendar Eleven- and Twelve-Month Employee Work Calendar (PDF)  DCPS
Pay Dates Pay Dates 2017 - 2018 (PDF)  DCPS

New Hire

TopicFormEntity
New Hire Handbook DCPS New Hire Forms Handbook (PDF) DCPS
I-9, Employment Eligibility Verification I-9 Form (PDF) Federal
Consent for release of information / background clearance request MD Release / Background Clearance Request (PDF) State
Maryland New Hire Registry Reporting Form MD New Hire Form (PDF) State
Pamphlet Welcome to the Employees’ and Teachers’ Pension System Welcome to Reformed ETPS (PDF) State
Application for membership (Form 001) Form 001 (PDF) State
Designation of beneficiary (Form 004) Form 004 (PDF) State
Application for criminal history record check Criminal History Record Check Form (PDF) DCPS
DCPS background supplemental form Application for Supplemental Background Check (PDF) DCPS
Teacher Employment Verification Form DCPS Employment Verification Form (PDF) DCPS
New Hire Form DCPS New Hire Form (PDF) DCPS
A&S / Support Unit I / Support Unit II / Teachers Negotiated Agreements DCPS
Initial Application for Certification Maryland State Department of Education's educator certification portal MSDE
Verification of satisfactory educational experience Verification of Experience (PDF) MSDE