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Human Resources

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  • Benefits
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Forms

If you have problems accessing linked documents on this page, email mrjohnson@brynmawr.edu for assistance.

Frequently Requested Forms

  • Address Change Form (you must also complete a PA Earned Income Tax Form and send to Payroll)
  • Attendance Record 2020 REVISED (track paid time off: vacation, personal, sick, etc.)
  • Attendance Record 2021 (track paid time off: vacation, personal, sick, etc.)
  • Coaching/Performance Review Form
  • Gym/Library Application for Spouses
  • Payroll Forms (tax and direct deposit)
  • Public Transportation Vouchers/RideECO Election Form
  • Timesheet: Bi-weekly
  • Timesheet: Monthly
  • Tuition Grant Application
  • Tuition Remission Form

Medical, Vision and Health Savings Account (HSA)

  • Flexible Benefit Plan Election Form
  • Blue Cross Medical Enrollment Form
  • Flu Vaccine Claim Form
  • Mail-order Prescription Order Form
  • POS Claim Form
  • PPO Out of Network Claim Form
  • International Claim Form
  • Davis Vision Claim Form
  • Health Savings Account (HSA) Election Form
  • Health Savings Account (HSA) HealthEquity New Account Form

Dental

  • Dental Election Form
  • Delta Dental Enrollment Form
  • Delta Dental Claim Form

Flexible Spending Accounts (FSA)

Please note that while a "paper" claim form is available, it is recommended you submit claims directly through the Payflex Portal.

  • Flexible Spending Account (FSA) Election Form
  • Flexible Spending Account (FSA) Claim Form

Life Insurance

  • Lincoln Financial Life Insurance Beneficiary Form
  • Lincoln Financial Life Insurance Medical Underwriting Application for supplemental insurance
    • Online Application
    • Paper Application

Disability and Other Leaves

  • Family Medical Leave Act (FMLA) Request Form
  • Short Term Disability (STD) Application

Additional Benefits

  • Flex-time Request Form
  • Gym/Library Application for Spouses
  • Public Transportation Vouchers/RideECO Election Form
  • Tuition Grant Application
  • Tuition Remission Form

Employment and Other

  • I-9 Employment Eligibility Verification Form
  • Address Change Form (you must also complete a PA Earned Income Tax Form and send to Payroll)
  • Attendance Record 2020 REVISED (track paid time off: vacation, personal, sick, etc.)
  • Attendance Record 2021 (track paid time off: vacation, personal, sick, etc.)
  • Coaching/Performance Review Form
  • Emergency Contact Form
  • Employee Information Sheet
  • Job Posting Form
  • Non-employee Information Sheet (volunteers, research associates, etc.)
  • Position Request Form
  • Timesheet: Bi-weekly
  • Timesheet: Monthly
Human Resources: Mailing Address
101 N. Merion Ave.
Bryn Mawr College
Bryn Mawr, Pennsylvania 19010-2899
Phone: 
610-526-5261
Fax: 
610-526-7478
Mapping Address
140 Morris Ave.
Bryn Mawr, Pennsylvania 19010-2899
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(610) 526-5000

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