HR Forms

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Appointment                                                   Benefits                                    Leaves

Training & Development                              Time & Attendance                Performance Management

Payroll                                                              Student                                    Miscellaneous

 

 

APPOINTMENT

Background Investigation Release
PDF

Change of Address/Name/Emergency Contacts PDF    
Confidentiality Statement PDF    
Dual Employment & Extra Service Approval (AC-1588) PDF    
Employee Information Form for New Employees PDF DOC
 
Extra Service Form/Extra Service Matrix
DOC 
Facilities Services - Internal Vacancy Application  PDF DOC
 
FLSA Questionnaire Professional Staff PDFDOC 
Geneseo Employee Recommendation Form (GER)
 DOC 
Human Resources Data Request PDF DOC  
Independent Contractor - Checklist for Determining Workers Status PDF    
Independent Contractor - Guide to Determining Workers Status PDF    
Job Description Questionnaire DOC 
Non-State Employee Data Sheet PDF    
Oath of Office StatementPDF  
Professional Staff Request for Review of Salary Increase or PromotionPDF  
Refilling Vacant Positions:  Staffing Plan - Support Documentation   DOC  
Request for Approval of Extra Service - MC Employee (UP6) PDF   
Request for Approval of Extra Service - UUP Employee (UP8) PDFDOC 
Request for Approval of Professional Appointment - Continuing, Permanent, Sabbatical (UP3)PDF  
Request for Reclassification of Classified Position DOC 
Separation Sign-Off PDF
DOC  
Vacancy Announcement (Classified Service)
DOC  
Vacancy Announcement Facilities Services (Classified Service)
DOC
 
Voluntary Reduction in Work Schedule Application (VRWS) - Professionals PDF  
Volunteer ApplicationPDF  


  

 TRAINING & DEVELOPMENT

Tuition Waiver B-140W PDF  
UUP Tuition Waiver Application  PDF  
    

 BENEFITS

Estimated Physical Capabilities  PDF
   
Estimated Physical Capabilities for Security Services and Supervisors PDF    
NYPERL Fact SheetPDF  
NYS Health Insurance Transaction (PS-404) PDF    
NYS Health Insurance Transaction Form Instructions (How to Complete the PS-404) PDF    
Retirement Election Form (2 pages) PDF
DOC
 
ORP-4: ERS Determination PDF
DOC
 
Request for Coverage Under the Young Adult Option (YAD-NYPE) PDF
   
UUP Benefit Fund Address Change Form

 URL
2012 Opt Out Attestation FormPDF  

PAYROLL

Direct Deposit PDF    
Direct Deposit Reactivation Request  PDF    
Extra Service Payroll Voucher PDF
   
I9 Employment Eligibility Verification
PDF  
Federal Tax W-4     URL
NYS Tax Withholding IT-2104     URL
Overtime Authorization PDFDOC 
Salary Reduction Agreement (for TDA's & SRA's )
  URL
W-2 Reprint Request   DOC
 
    

TIME & ATTENDANCE

Breast Cancer Screening Leave PDF DOC  
Classified Employee Biweekly Time Sheet  XLS 
Classified Staff Holiday Certification (GP8)PDF  
Classified Time and Accrual Worksheet
XLS 
Monthly Exception Report (faculty)
DOX 
Full Time Faculty Attendance Cert.

DOX 
Hourly Employee Biweekly Time Sheet   XLS
 
Leave Donation PDF DOC  
M/C & Professional Leave Accrual Worksheet PDFDOC 
M/C & Professional Monthly Attendance Report PDFDOC 
Professional Employee Time Sheet for Non-Exempt StaffPDF  
Prostate Cancer Screening Leave PDF DOC  
Part-Time Faculty Attendance Cert.

DOC 
Time Off Request PDF    
Voluntary Reduction in Work Schedule Timesheet (VRWS) - ProfessionalsPDF  
    

LEAVES

Employee On-The-Job Accident and Injury Report
PDF
 
FMLA Leave Request PDFDOC 
Return to Work Form - Medical Authorization
PDF DOC 
WH-380E: Certification of Health Care Provider for Employee's Serious Health Condition PDF  
WH-380F: Certification of Health Care Provider for Family Member's Serious Health ConditionPDF  
WH-384: Certification of Qualifying Exigency for Military Family LeavePDF  
WH-385: Certification of Serious Injury or Illness of Covered Servicemember - for Military Family LeavePDF  


   

PERFORMANCE MANAGEMENT

Annual Performance Evaluation - CSEA   DOC
 
Classified Service Employees Counseling Memorandum PDF DOC  
M/C Performance Program and Evaluation PDF    
Monthly Evaluation - Classified Staff PDF DOC  
Professional Evaluation PDFDOC 
Professional Performance Program PDFDOC 
Professional Review Request PDF DOC  
Professional Self-EvaluationPDFDOC
 
Performance Evaluation Program/Employee Worksheet Form - PEF PDF
 
Performance Evaluation Program Form - PEFPDF  
    

STUDENT

Change of Address PDF
 
Federal Work Study Time Record PDF    
Federal Work Study Award Tracker for Students & Supervisors  XLS 
Graduate Student Employee Attendance
PDF
   
Information for StudentsPDF  
Student Employee Orientation Checklist PDF
   
Student Employment Supervisor Handbook PDF    
Student Employee Retirement Option PDF
 
Student Tax Forms Guideline PDF    
Temp Service Appointment PDF DOC
 
Temp Service Time Record PDF    
    

MISCELLANEOUS

   
Alternate Work Location
PDFDOC 
Geneseo Pride Nomination
DOC URL
Reasonable Accommodation Request PDFDOC 
Alternative Work Location Agreement for Professional StaffPDFDOC
Request to View Personnel File
PDF  
Phased Retirement Eligibility Application for FacultyPDF