Main Page Content
Accident/Injury
- Employee On-the-Job Accident and Injury Report - Procedures
- Workers' Compensation Information: What You Need to Know
- Estimated Physical Capabilities
- Non-Employee Accident or Injury Report
Affirmative Action Forms
Appointment/Position
- Appointment/Status Change Recommendation
- Confidentiality Statement
- Consulting Application
- Human Resource Management System Information Form-Temporary Employees Only
- State Employee Statement in Lieu of Oath Pursuant to Civil Service Law
- Extending an Offer for Employment
- Outside Employment Form
- Prior Service Request
- UP-211 Form: Reemployment of Retired Public Employees
- The Form I-9 (INS Employment Eligibility Verification) - more information
- Volunteer Form
- Waiver of Search/Temporary Non-Instructional Request Form
Benefit/Retirement Forms
- Blue Choice Turning 65 Form (Medicare Secondary)
- CSEA Employee Benefit Fund Application (Dental/Vision)
- CSEA Membership Application
- UUP Benefit Forms (Dental/Vision/Life/Address/Membership/Student Verification/others)
- Employees Retirement System Forms
- MVP Turning 65 Form (Medicare Secondary)
- Opt Out Program (health insurance)
- Phased Retirement Program for Academic Employees Application
- NYS Health Insurance Transaction Form (PS-404)
- NYS Health Insurance Transaction Form For Graduate and Teaching Assistants ONLY
Dental and Vision
Tuition Assistance
Directory
- Address/Name Change Form (online submission, must have NetID - same as email)
- Department Name Recommendation Form
Extra Service
- Dual Employment Approval Form (Other Agency)
- UP-8 (Full-time UUP)
- Guidelines on Form Completion and Matrix of Extra Service Forms Required for Payment
- Extra Service Approval Form
- UP-6 Request for Extra Service Approval for M/C Employee (Other Agency)
Evaluation/ Performance Program
Evaluation Calendar - All Employees
Classified Employees
CSEA Employees
PEF Employees
Security Services Unit (NYSCOPBA) Employees
University Police Officers (PBA of NYS)
- University Police Officer 1- Performance Evaluation
- University Police Officer 2- Performance Evaluation
Management Confidential Employees
Professional (UUP) Employees
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
- Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave
- Certification of Health Care Provider for Employee's Serious Health Condition
- Certification of Health Care Provider for Family Member's Serious Health Condition
- Certification of Qualifying Exigency for Military Family Leave
- Leave Request Form
Miscellaneous
- Adele Catlin Award Nomination Form
- Chancellor's Award for Excellence in Classified Service Guidelines and Nomination Form
- LENS Request Form - Verification of Driver's License
- Mailing Label Request
- Outstanding Service Award Nomination Form and Checklist
- Separation Checklist — Employee and Supervisor must complete upon separation from employment
Payroll Forms
- Direct Deposit Form (PDF)
- Holiday Pay Waiver
- Leave Donation Form
- Reactivation Request Form
- Savings Bonds - AC-3245 Treasury Direct Deposit Transactions
- Time Sheets - See Payroll
Withholding
- IT-2104(NYS) Employee's Withholding Allowance Certificate
- IT-2104E(NYS) Certificate of Exemption From Withholding
- W-4 (Federal) Employees Withholding Allowance Certificate