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Benefits & Forms

Here you will find almost any benefits form you might need. Just print a copy of the form, complete it, and then submit it as instructed.

If you are unsure about whether or not you need to submit a form, or which form you need to complete, please contact the Division of Health & Human Services at 240-313-2350.

Below are the links to all of the benefit forms.

Employee Rights Under the Families First Coronavirus Response Act

(Click the image above to view/download the PDF)

Employee Benefits & Forms

Human Resources

100 West Washington Street
Hagerstown, MD  21740

240-313-2350
FAX 240-313-2351

Office Hours: Monday-Friday 7:30am-4:30pm

AT&T, Sprint, Verizon, DIRECTV and Antietam Cable Television have Points of Presence within the county. Washington County is well served and several options are available for broadband services. Resources to help your household find the right internet service plan include InternetProviders.com. Cellular telephone services are available through private local and regional vendors.