Pre-Tax Transit Benefits Initiation Form
Please complete the following form in order to be eligible for pre-tax transit benefits. Within one week after this form is submitted, you will receive an email with instructions to enroll directly on the Benefit Resources, Inc. (BRI) website.
First Name
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Last Name
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Middle Initial
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University ID #
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Date of Birth
MM
/
DD
/
YYYY
Home Address
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Home Address
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City
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State
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Zip
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Email Address
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Phone Number
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Campus Department
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Affiliation
Which public transit service(s) do you use?
Deduct this amount from each paycheck: (max allowable amount is $255/month)
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Important Information
Payroll deductions are taken only 20 day periods per year (pay periods 5 through 24). There are no deductions taken from your pay for pay periods 25, 26, and 1-4 (summer months) and therefor no benefit is provided for non-deducted pay periods. If you are in need of a transit benefit year-round, then you should increase your deduction during the 20 pay periods to allow you to accumulate funds during the year for use during summer months when there is no deduction or benefit. Deductions are taken from your pay bi-weekly, but the transit benefit is issued monthly.

There is a lag time in when you receive your benefit. Deductions taken in one month are issues as your transits benefit the following month. Transit benefits are for the exclusive use of the employee.

If you are dropped from payroll deduction for any reason (including no pay), which results in your benefit not being deducted, you are responsible for any missed payments. You will receive transit benefit the month following the deductions being taken from your pay.

Please initial below to initiate payroll deduction.
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Questions?
Please email SmartCommute@umd.edu if you have any questions.
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