| Employee Name |
This checklist is a guide to assist SUNY representations in ensuring that employees are aware of significant policies and that their eligibility for, and enrollment in, appropriate benefits programs are considered.
Checked information appropriate for my appointment title, category, and type
has been discussed with and/or provided to me. I understand that I must strive
to be aware of and follow all work rules and regulations.
___________________________________________________________
Signature
of Employee with date of signature