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FEEDBACK
Human Resources
Forms/Templates - Sorted by Category
Accident/ Injury
- Employee On-the-Job Accident and Injury Report - Procedures
- Estimated Physical Capabilities
- Estimated Physical Capabilities (Security Services)
Appointment/ Position
- Appointment/Status Change Recommendation - Microsoft Word 2007
- Appointment/Status Change Recommendation - Previous Version
- Instructions for completion
Form should be printed on ecru/ivory colored paper or light green colored paper for an appointment resulting from a search or a search waiver.
- Instructions for completion
- Consulting Application
- Human Resource Management System Information Form
- Job Description Form - Guidelines
- State Employee Statement in Lieu of Oath Pursuant to Civil Service Law
- Offer Summary
- Outside Employment Form
- Position Request Form - Policy
- Prior Service Request - Academic Employees - Policy
- Prior Service Request - Professional Employees - Policy
- Summer Appointment Form
- Summer Retirement Form
- Summer Tax Forms
- UP-211 Form: Reemployment of Retired Public Employees - Policy
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The Form I-9 (INS Employment Eligibility Verification) - more information
Must be completed within 3 days of appointment date
Benefit/ Retirement Forms
- Blue Choice Tefr/Defra Form (Medicare Secondary)
- CSEA Employee Benefit Fund Application (Denal/Vision)
- CSEA Membership Application
- Dental Claim Forms
- Domestic Partner Affidavit
- Employees Retirement System Forms
- ING Loan Form
- Intent to Retire Form
- Long Term Disability Application Form (Standard Insurance Company)
- NYS Health Insurance Transaction Form (PS-404)
- NYS Health Insurance Transaction Form For Graduate and Teaching Assistants ONLY
- Productivity Enhancement Program (PEP) for CSEA, PEF, and MC-Classified Employees
- Productivity Enhancement Program (PEP) for Non-Teaching Professional UUP and MC-Professional Employees
- Salary Reduction Agreement - See Payroll Forms Below
- Tuition Assistance
- UUP Benefit Forms (Dental/Vision/Life/Address/Membership/Student Verification/others)
Directory
- Address/Name Change Form (online submission, must have NetID - same as email)
- Address/Name Change Form (hard copy)
- Department Name Recommendation Form
Extra Service
- Dual Employment Approval Form (Other Agency)
- UP-8 (Full-time UUP)
- Classified Extra Service Approval Form
- Professional/Faculty Extra Service Approval Form - Microsoft Word 2003
- UP-6 Request for Extra Service Approval for M/C Employee (Other Agency)
- Extra Service Voucher - Guidelines for Completing Voucher
Evaluation/ Performance Program/ Probation
- Evaluation Calendar
- Evaluation-CSEA Employees - Guidelines
- Evaluation-CSEA Appeals Form
- Evaluation Form-Professional Employees
- Evaluation System for Professional Employees
Form should be printed on ecru or ivory colored paper.
- Evaluation System for Professional Employees
- Performance Program-Professional Employees
- Guidelines for preparing Professional Performance Program
Guidelines for Developing Mission Statements
Form should be printed on light green colored paper.
- Guidelines for preparing Professional Performance Program
- Evaluation/Performance Program - PEF Employees
- Evaluation/Performance Program - M/C Employees
- Evaluation Form - ALES Employees
- Evaluation Form - Security Services Unit
- Evaluation Form - Security Supervisor Unit
- Probationary Period Form - CSEA Employees - Guidelines
Immigration/Visa Forms
- Employee Questionnaire in Connection with Permanent Employment Certification
- Employer Questionnaire in Connection with Permanent Employment Certification
- Immigration Initiation Form
- H-1B Employer Questionnaire
- Visa Employee Questionnaire
Leaves - See Full Listing of Leaves
Miscellaneous
- Action Request -Form Memorandum to Request Review and/or Approval
- Adele Catlin Award Nomination Form
- Alternate Work Location Form
- Composition of Committees Template
- Confidentiality
- DSI Nomination Form (Professional)
- HR Customer Service Survey - "Tell Us..."
- LENS Request Form - Verification of Driver's License
- Mailing Label Request
- New Proposal Initiative
- Outstanding Service Award Nomination Form
- Outstanding Service Award Nomination Checklist
- Recognition Form
- Separation Form - Employee and Supervisor must complete upon separation from employment
- Time Sheets - See Payroll
- UUP College Panel Review Request Form
- UUP Request for Promotion Form
- Workplace Violence Prevention Risk Assessment Form
Payroll Forms
- Direct Deposit Form (PDF)
- IT-2104(NYS) Employee's Withholding Allowance Certificate
- IT-2104E(NYS) Certificate of Exemption From Withholding
- W-4 (Federal) Employees Withholding Allowance Certificate
- W-5 (Federal) Earned Income Credit Advance Payment Certificate
- Salary Reduction Agreement
- Holiday Pay Waiver
- Leave Donation Form
- Time Sheets - See Payroll
Vacancy Announcement
