HR Forms

Benefits

Documents

• Affordable Care Act Notice to Employees
  
• CSEA Prescription Drug Co-Pay Reimbursement
• Dental Claim Form (CSEA)
  
• Dental Claim Form (MC and Council 82)
• Dental Claim Form (UUP)
  
• Dependent Care Advantage Account Reimbursement Request Form
  
• Domestic Partner Insurance Application Packet
• Empire Plan Health Insurance Claim Form
  
• Employee Assistance Program
• Employees Retirement System Membership Application
  
• Health Care Spending Account Reimbursement Request Form
  
• Helpful Telephone Numbers
  
• Leave For Breast Cancer Screening
• Leave For Prostate Cancer Screening
• NYS Balance: Resources and Referral
  
• SUNY Perks
  
• SUNY Universal Availability Notice 2017
  
• Tuition Waiver - MSC UUP Space Available
  
• Tuition Waiver Form (B-140W)
  
• 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)
  

Other

• Public Officers Law
• Work Related Injury or Illness Report

Payroll Forms

• Change of Address
  
• Direct Deposit Form (AC2772)
  
• Employment Eligibility Verfication Form (I-9)
• Federal Withholding Tax Form 2018
  
• Holiday Report
  
• NYS Withholding Form 2018
• Overtime Report
  
• Payroll Schedule 2018 for Hourly (Green) Timesheets
  
• Retirement Form for Part Time Employees
  
• Salary Reduction Agreement SUNY 403B Voluntary Savings Plan
• 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
  
• Request for Volunteer Appointment