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Benefits, Forms, and Salary Scales

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.

(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