MRPBS - Forms - Other Forms |
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Printable Version
All documents (unless otherwise stated) have been created in Portable Document Format (PDF) and can only be viewed by using Adobe Acrobat Reader. Some of our forms require Acrobat Reader 4.0 or above to be able to complete the form on-line or to use the links within the forms. The data from these forms can not be submitted or saved to your PC at this time, however, you can complete the form on-line, print it and then mail or fax the form to the appropriate personnel.
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Form
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Fillable
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Download
Format/Size |
Description of Form
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Revision
Date
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Certification of Accomplished Ethics Orientation |
No |
PDF; 15Kb |
Certification of Accomplished Ethics Orientation |
N/A |
Certification Regarding Lobbying |
No |
PDF; 6Kb |
Certification Regarding Lobbying |
N/A |
I-9 |
Yes
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PDF; 379Kb |
Employment Eligibility Verification
(U.S. Department of Justice) |
08/09
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FMS-2231 |
Yes
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PDF; 727Kb |
FastStart Direct Deposit
(U.S. Department of Treasury) |
11/92
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OFI Form 86C |
No
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PDF; 23Kb |
Special Agreement Checks |
02/02
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RI 20-97 |
External Link
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External Link |
Estimated Earnings During Military Service
(Instructions) |
02/08
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Self Insurance Information |
No |
PDF; 662Kb |
Self Insurance Information |
N/A |
W-4 |
Yes
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PDF; 224Kb |
Employee's Withholding Allowance Certificate
(U.S. Department of Treasury) |
2009 |
WH-380-E |
Yes |
PDF; 623Kb |
FMLA Medical Certification for Employee’s Serious Health Condition |
01/09 |
WH-380-F |
Yes |
PDF; 523Kb |
FMLA Medical Certification for a Family Member’s Serious Health Condition |
01/09 |
WH-385 |
Yes |
PDF; 214Kb |
FMLA Medical Certification for Serious Injury or Illness of Covered Service member for Military Family Leave |
01/09 |