SUNYIT Events Calendar

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January 2013
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Academic Calendars

Human Resources

Human Resources

Links to some of the most frequently requested forms are listed below. If you do not see the form you need, please contact the Office of Human Resources. Additional forms are always available and can be requested by phone at 792-7191 or e-mail at hr@sunyit.edu.

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Form Fill-in
MS Word
PDF Fill-in
PDF
Benefits (Health Insurance, Retirement, Flex Spending, Tuition Waiver)
Dental Claim Form (CSEA)   (pdf)  
Dental Claim Form (MC)   (pdf)  
Dental Claim Form (UUP)   (pdf)  
Domestic Partner Instructions/Enrollment   (pdf)  
Empire Plan Out of Network Claim Form   (pdf)  
Flex Spending Reimbursement   (pdf) (pdf)
Tuition and Fee Assistance (B-140W) (.doc) (pdf) (pdf)
UUP Tuition Waiver Form (.doc) (pdf)  
Vision Care Remibursement (CSEA)   (pdf)  
Vision Care Remibursement (UUP)   (pdf)  
Vision Claim Form (MC)   (pdf)  
Extra Service

Dual Employment/Extra Service Approval Form
(To serve with another state agency)

  (pdf)  
Extra Service Assignment Approval (.doc) (pdf)  

Extra Service Payroll Voucher

  (pdf)  
Request for Approval of Extra Service for UUP Employees (UP-8) (.doc) (pdf)  
Request for Approval of Extra Service for M/C Employees (UP-6) (.doc) (pdf)  
Leaves & Resignations

Request for Leave of Absence- Professional Staff

(.doc) (pdf)  
Check-Out Form (.doc) (pdf)  
Payroll Forms
Change of Address/Name (.doc) (pdf)  
Direct Deposit   (pdf) (pdf)
IT-2104 (NYS) Employee's Withholding Allowance Certificate     (pdf)
I-9     (pdf)
Salary Reduction Agreement   (pdf)  
Timesheet- Faculty & Professional Staff   (pdf)  
Timesheet- Classified Staff (.xls)  (pdf)
 
Daily Time Record   (pdf)  
W4 (Federal) Employees Withholding Allowance Certificate     (pdf)
Performance Program & Evaluation
Performance Evaluation Program and Appraisal for Classified Staff (CSEA) (.doc) (pdf) (pdf)
Performance Evaluation Program and Appraisal for M/C Classified (.doc) (pdf) (pdf)
Professional Performance Evaluation (UUP) (.doc) (pdf)  
Professional Performance Program (UUP) (.doc) (pdf)  
Professional, Scientific & Technical Services Unit Evaluation Form (PEF) (.doc) (pdf) (pdf)
Recruitment
Appointment Action Request for Classified Service (.doc) (pdf)  
Appointment Request Form (For Academic and Professional Staff) (.doc) (pdf)  
Background Check Release Form   (pdf)  
EEO/AA Program Summary Report for Academic and Professional Searches (.doc) (pdf)  
EEO/AA Program Summary Report for Classified and Support Staff Searches (.doc) (pdf)  
Employment Application (Faculty/Professional Staff) (.doc) (pdf)  
Employment Application (Classified/Support Staff)   (pdf)  
Graduate Assistantships and Fellowships - Payroll Authorization and Appointment (.doc) (pdf)  
Recruitment Authorization (.doc) (pdf)  
Transcript Request (SUNYIT Graduates)   (pdf)  
Updated 05/25/12