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).


3. Change my federal and/or state tax withholdings?

To change your federal tax withholdings, complete THIS W-4 FORM

To change your NYS tax withholdings, complete THIS NYS IT-2104 FORM.

Completed forms should be sent to Human Resources & Payroll Services


4. Contact your Health Benefits Administrator (Victoria Phipps)?

Contact your HBA within 7 days of life-changing events to best avoid delays in coverage and retro charges in your paycheck! Examples of life-changing events are:

  • change in marital status;
  • the birth of a baby;
  • change of address;
  • going on a leave without pay;
  • retirement;
  • check out the full list HERE

You will need to complete the NYS Health Insurance Transaction PS 404 Form. Additional documentation may be required. Contact Victoria at phipps@geneseo.edu or 585-245-5616.

New Faculty/Staff E-Forms Packets (AdobeSign)

New employees need to complete an electronic forms packet via AdobeSign before or on their first day of employment.

*****READ ME FOR I-9 HELP!*****

TIME-SENSITIVE FORM - ELIGIBILITY FOR EMPLOYMENT FORM I-9
The Immigration Reform and Control Act of 1986 (IRCA) mandates that all employers secure proof of identity and eligibility for employment from all appointees within three days of their appointment effective date or such new appointees cannot be added to the payroll. Each newly hired employee will need to complete and sign Section 1 no later than the first day of employment and complete Section 2 with their authorized representative within the three days. It is important to note that, by law, we cannot accept your services or pay you for them if you do not produce acceptable documentation of your eligibility for work within the three-day grace period. 


If you are a classified service employee (Cleaner, Plant Utilities Assistant, Office Assistant, Nurse 1, University Police Officer, Administrative Assistant, etc.) please click the link below:

NEW Classified Service Employee


If you are faculty or professional staff (Lecturer, Assistant Professor, Staff Assistant, Programmer Analyst, Dean, etc.) please click the link below:

NEW Faculty or Professional (Unclassified Service) Employee


If you are a part-time employee (Adjunct Lecturer, Graduate Assistant, Assistant Coach, Resident Hall Intern, etc.) please click the link below:

NEW/RETURNING Part-time Employee

Faculty & Staff Employment Forms
New Student Employee Required Forms Packet
  • Employment Eligibility Form I-9 (Adobe version)  
    Adobe Sign Form I-9 Instructions: You will need to choose an "authorized representative" (NOT YOURSELF) to view your documents and complete page 2 of this form for you. It would be best to choose someone close by as they will need to see your original documents. You will need to provide their name and email address AFTER you sign the form.  You can designate a friend, family member, supervisor, etc. to be your authorized representative. Additional documentation is required. On the first page, you will complete your employee information, electronically sign and date. On page 2, you will need to present unexpired, original documentation that shows proof of identity and work authorization to your authorized representative. Please see page 3 of the Form I-9 for the acceptable documents showing proof. You can present one document from List A OR a combination of documents from List B and C. You will need to upload your proof of identity and work authorization documents into this Adobe Sign I-9 form. 

Below are the instructions for completing these fillable, electronic Adobe Forms. Please read very carefully. 

Welcome to Geneseo! Fill in the name and email for each signing role; the definitions of these roles are listed below. Signers will receive an email inviting them to sign this document as necessary. Then click on the yellow "Begin Signing" button.

Employee -- This would be you. Complete page 1 making sure to check a box for your citizen status. When you are done with the form a black box with a blue oval will appear asking you to "click to sign".  On page 2, it will ask you to attach and upload documents from either List A OR List B and C (found on page three of the I-9 form)

Then a pop-up box will appear asking you to assign the next participants. This is your Authorized Friend or Family Member. Can NOT be you.

Authorized Friend or Family Member (Participant 2) -- Enter the person's name and email address that you choose to be your "authorized representative"(not yourself). Your authorized representative will view your I-9 documents and complete page 2 of this form for you. The name and email that you entered as your authorized representative can be a friend, family member, supervisor, etc.  On page 2, you will need to attach and upload unexpired, original documentation that shows proof of identity and work authorization to your authorized representative.  You can present one document from List A OR a combination of documents from List B and C.  The person you chose as your authorized representative will get an email to complete page 2 electronically. Your authorized representative MUST view the original documents that you present.

 

Student Forms
Accident/Injury
Appointments & Staffing
Benefits & Retirement Programs
Classification of Positions & Recruitment
Ethics Forms
Payroll, Time & Attendance Forms
Leaves of Absence
Tuition Waiver Forms
Performance Program & Evaluation Forms
Miscellaneous Forms