Human Resources Forms

We strive to ensure our HR resources are available to everyone. If you have difficulty using any forms on this page, please email hr@geneseo.edu. We will work with you directly to ensure you have the information and support you need.

Use the employee self-service system to change your address, view paychecks, complete time sheets, and update your personal information.

• Click the “Access Employee Self-Service Button” for the SUNYHR Portal
• Enter your birth date
• You can click on any of the demographic information, address, phone number, and emergency contact links to update your information with us.
• If you need to change your legal name, complete this Personal Information Form(PDF) (also available in the SUNYHR Portal). Complete the form, attach any required documentation, and return it to Human Resources & Payroll Services.

Need help with your timesheet or approving a timesheet? Get help with time sheets

• Direct Deposit Re-Activation Form(PDF)
• Federal Work Study Award Tracker for Students & Supervisors
• Graduate Student Employee Attendance
• Information for Students(PDF)
• Student Employee Orientation Checklist
• Student Employee Retirement Option
• Student Employment Supervisor Handbook(PDF)
• Student Online Timesheet Instructions
• Temp Service Appointment Form (should be completed online)
• Student Payroll Information Form (rehires)

• Accident Report(PDF)
• Estimated Physical Capabilities(PDF)

• Alternate Work Location Agreement Information(PDF)
• Alternate Work Location Progress Report(PDF)
• Geneseo Employment Recommendation Form (GER)
• Independent Contractor – Checklist for Determining Workers’ Status(PDF)
• Intent to Resign Form Letter (Classified Service Staff)
• Intent to Resign Form Letter (Unclassified Service Faculty/Staff)
• Intent to Retire Form Letter (Classified Service Staff)
• Intent to Retire Form Letter (Unclassified Service Faculty/Staff)
• Internal Career Advancement Request Form
• Extra Service Required Forms(PDF) – READ ME
  • Extra Service Approval Form
  • MC (UP6)
  • UUP (UP8)
• Professional Staff Request for Review of Salary Increase or Promotion(PDF)
• Professional Review Request
• Request for Approval of Professional Appointment-Continuing/Permanent (UP3)(PDF)
• Staffing Plan Support Documentation Form
• SUNY Telecommuting Program Application and Work Plan(PDF)
• Tenure Clock Stoppage Form
• Title F Leave Application
• Separation Sign- off Form

• CSEA Dental and Vision Online Enrollment
• Domestic Partner Dependent Tax Affidavit for Enrollment in NYSHIP, PS-425.3(PDF)
• Domestic Partner Enrollment Application & Instructions, PS-425(PDF)
• Domestic Partner Termination Form, PS-425.4(PDF)
• Employees’ Retirement System Application for Membership(PDF)
• Manage SUNY Tax-Deferred Annuity – SUNY Retirement@Work
• M/C Dental/Vision Student Verification Form(PDF)
• NYS Health Insurance Transaction Form (PS-404) (This is an Adobe Sign Form)
  • IMPORTANT – Enter Benefits Administration, benefits@geneseo.edu as the second signature once you have completed the form.
  • IMPORTANT – After you submit this form, be sure to go back to your email inbox and click on the Adobe link that you will receive to confirm that you completed the form and that it is your account.
• NYS Opt-Out Attestation Form (PS-409)(PDF)
• NYS Sick Leave Credit Option Election Form (PS-405)(PDF)
• NYS Survivors Benefit Program Form(PDF)
• Phased Retirement Application
• Police and Fire Membership Application, PF 5022(PDF)
• Retirement Election – Retirement@Work
• ADOBESIGN Retirement Election Form for Optional Employees(PDF)
• Retirement Election Form for Optional Employees
• Teachers’ Retirement System Application for Membership
• UUP Change of Address Form
• UUP Change of Marital or Dependent Status Form(PDF)
• UUP Enrollment Form (Dental/Vision)
• UUP DHMO Enrollment Form(PDF)
• UUP Group Life Insurance Form(PDF)

• Classified Service Request for Reclassification Review(PDF)
• Job Description Questionnaire
• Waiver of Recruitment

• Honoraria(PDF)
• Official Activity Expense Payment(PDF)
• Outside Activity for Policy Makers Only (if over $5,000)(PDF)

• Cancer Screening Leave
• Classified Staff Holiday Certification (GP-8)(PDF)
• Classified Time and Accrual Worksheet
• Compressed Workweek Application Summer 2025(PDF)
• Direct Deposit(PDF)
• Direct Deposit Re-Activation Form(PDF)
• Flexible Summer Work Schedule Guidelines 2025(PDF)
• Graduate Assistant/Teaching Assistant Attendance Report Form
• Holiday Waiver Form
• Hourly Employee Biweekly Time Sheet
• Hourly Employee Biweekly Time Sheet (Adobe)
• Overtime Authorization
• Voluntary Reduction in Work Schedule Application (VRWS)(PDF)
  • Voluntary Reduction in Work Schedule Guidelines
• W-2 Reprint Request
• W4- Federal Withholding(PDF)
• IT-2104 – NYS Withholding(PDF)

• FMLA Essential Responsibilities(PDF)
• FMLA Leave Request(PDF)
• FMLA Leave Request – Adoption Placement(PDF)
• Leaves Comparison
• NYS Paid Family Leave Forms
• Reasonable Accommodation Request
• Return to Work Form(PDF)
• UUP & MC Active Military Leave Forms(PDF)
• UUP & MC Bonding Leave Packet(PDF)
• UUP & MC Family Care Leave Forms(PDF)
• 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 Condition(PDF)

• Tuition Waiver B-140W(PDF)
• UUP Tuition Waiver Application(PDF)

• CSEA Annual Performance Evaluation
• CSEA Monthly Evaluation Form
• M/C Performance Appraisal (NU-06)
• M/C Performance Evaluation
• M/C Performance Program
• Performance Evaluation Form for UP 01
• Performance Evaluation Form for UP 02
• Performance Evaluation Program Form – PEF(PDF)
• Professional Evaluation UUP
• Professional Performance Program UUP
• Professional Secondary Source
• Professional Self-Assessment

• Application for Volunteer Services (update coming soon)
• Data Request Form
• Label Request Form
• Request to View Personnel File(PDF)

• Human Resources & Payroll Services