Human Resources Forms

How do I...

1. Change my address and/or personal information?

Personal Information Self-Service Online Link*

*Use this link to update your address, legal name and view your paycheck. If any other information needs updating such as name, degree, emergency contacts, etc., please print the Personal Information form and send to Human Resources & Payroll Services, Doty Hall 318. For further instructions, view this helpful powerpoint: Instructions for Accessing Self-Service Link

Additionally, when you change your address -- remember you will need to contact any union sponsored benefits that you may have (dental, vision, life insurance, etc.) and your retirement carriers including any tax-deferred annuity providers you may have. PRINT THIS ADDRESS CHANGE LIST DOCUMENT FOR CONTACT INFORMATION.

2. Add a newborn to my health insurance coverage?

To add a newborn baby to your health insurance, you'll need to complete the NYS Health Insurance Transaction Form (PS 404) which is found in the benefits section of this HR Forms page. Complete Nos. 1-9, add the newborn baby's name and date of birth in No. 13, then sign and date. Once you receive the baby's birth certificate and social security card, you will need to send copies of each to Victoria Phipps (phipps@geneseo.edu).

Classification Forms

FLSA Questionnaire Professional Staff

Job Description Questionnaire

Independent Contractor - Checklist for Determining Workers Status

Independent Contractor - Guide to Determining Workers Status

Request for Reclassification of Classified Position

Recruitment & Selection Forms

Background Investigation Release

Facilities Services Application for Employment

Invitation for Self-Identify for Veterans

Offer Summary for New Faculty Appointment

Offer Summary for New Professional Appointment

Offer Summary for New M/C Appointment

Staffing Plan Support Documentation Form

Vacancy Announcement (Classified Service)

Vacancy Announcement Facilities Services (Classified Service)

Voluntary Self-Identification of Disability

Waiver of Recruitment

Appointment Forms

Confidentiality Statement

Dual Employment & Extra Service Approval (AC-1588)

Employee Information Form for New Employees

Extra Service Form/Extra Service Matrix

Form I-9, Employment Eligibility Verification

Geneseo Employment Recommendation Form (GER)

Intent to Retire Form Letter Template Internal Career Advancement Form

Oath of Office Statement

Professional Staff Request for Review of Salary Increase or Promotion

Request for Approval of Extra Service - MC Employee (UP6)

Request for Approval of Extra Service - UUP Employee (UP8)

Request for Approval of Professional Appointment - Continuing, Permanent,

Sabbatical - UP3

Separation Sign-off Form Staffing Plan Form

Tenure Clock Stoppage Form

Title F Leave Application Volunteer Application

Benefits Forms

CSEA Dental and Vision Online Enrollment

CSEA Membership Application Form

CSEA Student Verification Form

Domestic Partner Enrollment Application & Instructions, PS-425

Domestic Partner Dependent Tax Affidavit for Enrollment in NYSHIP, PS-425.3

Domestic Partner Termination Form, PS-425.4

Employees Retirement System Membership Registration Form, RS5420

M/C Davis Vision Student Verification Form

M/C GHI Dental Student Verification Form

NYS Health Insurance Transaction Form (PS-404)

Required Proofs for NYSHIP Document

NYSHIP Opt Out Attestation Form (PS-409)

Police and Fire Membership Application, PF 5022

Request for Coverage Under the Young Adult Option (YAD-NYPE)

Retirement Election - Retirement@Work

Retirement Election Form for Optional Employees

NYS Employees' Retirement System Application for Membership

Teachers' Retirement System Application for Membership

UUP Dental/Vision Enrollment Form

UUP Membership Application -- UUP has created an e-membership card that prospective members can fill out online and send electronically to UUP—instantly making them a UUP member. This application will not enroll you in the Dental/Vision Benefits. See above for UUP Dental and Vision Enrollment Form.

UUP Change of Marital or Dependent Status Form

UUP Student Verification Form

Ethics Forms