HR Forms

Benefits

Documents

• Affordable Care Act Notice to Employees
• Dental Claim Form (CSEA)
• Dental Claim Form (UUP)
• Dependent Care Advantage Account Reimbursement Request Form
• Empire Plan Health Insurance Claim Form
• Employees Retirement System Membership Application
• Health Care Spending Account Reimbursement Request Form
• Helpful Telephone Numbers
• NYS Balance: Resources and Referral
• SUNY Perks
• SUNY Universal Availability Notice 2017
• Tuition Waiver - UUP Space Available
• Tuition Waiver Form (B-140W)
• Voluntary Savings Plan - Universal Availability
• Vision Claim Form (CSEA)
• Vision Claim Form (UUP)

Links

• Compliance Assistance Family and Medical Leave Act
• CSEA LEAP Applications
• Faculty & Staff Apple Discount Program
• Faculty & Staff Dell Discount Program
• UBMicro Computer and Software Discounts

Extra Service

• Dual Employment/Extra Service Approval Form (AC1588)
• Extra Service Authorization Form
• Extra Service Payroll Voucher (AC873)
• UP6 Extra Service Form (M/C)
• UP8 Extra Service Form (UUP)

Payroll Forms

• Change of Address
• Direct Deposit Form (AC2772)
• Federal Withholding Tax Form 2018
• Holiday Report
• Overtime Report
• Payroll Schedule 2018 for Hourly (Green) Timesheets
• Retirement Form for Part Time Employees
• Time Sheet - Professional
• Time Sheet - Classified
• Time Sheet - Federal College Work Study
• Time Sheet - Student Temporary Services

Performance Program & Evaluation

• CSEA Performance Evaluation
• UUP Performance Evaluation Form
• UUP Performance Program Form

Recruitment

• Appointment Request Form (For Academic and Professional Staff)
• Recruitment Authorization Form
• Adjunct Appointment Form