Forms/Instructions


Adjunct Faculty Forms/Instructions
Dental Forms/Instructions
Family Medical Leave Act (FMLA) Forms/Instructions
Flexible Spending Account Forms/Instructions
Health Insurance Forms/Instructions
Payroll Related Forms/Instructions
Performance Evaluation Forms/Instructions
Personal Information Forms/Instructions
Retirement Forms/Instructions
Tax Forms/Instructions
Tuition Benefit Forms/Instructions
Other Forms/Instructions
Adjunct Faculty Forms/Instructions
Employee Information Form
Confidentiality Statement
Direct Deposit Authorization Form
I-9 Form
IRS- W4
NYS Withholding Allowance Certificate
Certificate of Nonresidence and Allocation of Withholding Tax
Dental Forms/Instructions
Attending Dentist's Statement
Enrollment/Change Form*
*All enrollment/change forms must be submitted through the Office of Human Resources
Family Medical Leave Act Forms/Instructions
Request for Family and Medical Leave (FMLA)
Employee Rights and Responsibilities Under the Family Medical Leave Act
Notice of Eligibility and Rights and Responsibilities Form (WH-381)
Designation Notice to Employee Requesting FMLA Leave (WH-382)
Notice and Proof of Claim for Disability Benefits (DB-450)
Certification of Health Care Provider for Employee's Serious Health Condition (WH-380-E)
Certification of Health Care Provider for Family Member's Serious Health Condition (WH-380-F)
Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave (WH-385)
Certification of Qualifying Exigency For Military Family Leave (WH-384)
Physician Report - Return to Work Evaluation
Flexible Spending Account Forms/Instructions
Reimbursement Form-EBS Benefit Solutions
Enrollment Form*
*All enrollment/change forms must be submitted through the Office of Human Resources
Health Insurance Forms/Instructions
Group Enrollment/Change Form*
Waiver Buy-Out Form
Student Certification Form
Health Reimbursement Account
*All enrollment/change forms must be submitted through the Office of Human Resources
Payroll Related Forms/Instructions
Secretarial Clerical Technical Time Sheet
Professional Non-Faculty Compensated Absence Report
Payroll Time Sheet Hourly Employees
Direct Deposit Authorization Form
Salary Payment Option for 10 Month Employees
Change/Cancellation For Mailed Bank Deposit of Payroll Checks
I-9 Forms
Certificate of Nonresidence and Allocation of Withholding Tax
Annual Fund Payroll Deduction Form
Achieve Payroll Deduction Form
Performance Evaluation Forms/Instructions
Self Evaluation Form
SCT Performance Evaluation Form
Professional Performance Evaluation Form
Supervisor's Performance Management Guide
Personal Information Change Forms/Instructions
Employee Information Form
Personal Information Change Card
Banner Web Directory Information
Retirement Forms/Instructions
Authorization for Voluntary Salary Reduction
Tax Forms/Instructions
NYS - IT 2104
IRS - W4
Certificate of Nonresidence and Allocation of Withholding Tax
Tuition Benefit Forms/Instructions
Remitted Tuition Request
Form for TE/CIC/CICU
Cash Grant
Dependent Scholarship
Corporate & Professional Programs Course Request Form
www.tuitionexchange.org
www.cic.org
Other Forms/Instructions
Affirmative Action Flow Information
Position Request Form
Classified Ad Request
Request for Sick Leave Bank & Donation
Internal Transfer Form
Application for Domestic Partner
Summer Employment Application
Employee Confidentiality Form
Telephone Tips
Reasonable Accommodation Request Form
Employment Application


