| 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
|
Request for Leave of Absence- Professional Staff
|
(.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 |
|
(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 |
(.doc) |
(pdf) |
|
| Professional Performance Program |
(.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 |
(.doc) |
(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) |
(.doc) |
(pdf) |
|
| Graduate Assistantships and Fellowships - Payroll Authorization and Appointment |
(.doc) |
(pdf) |
|
| Recruitment Authorization |
(.doc) |
(pdf) |
|
| Transcript Request (SUNYIT Graduates) |
|
(pdf) |
|
| Updated 11/5/09 |
