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. 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 or Staff Employee Required Forms Packet

Employee Information Form
Employment Eligibility Form I-9 (DocuSign version)
DocuSign Form I-9 Instructions: You will need to choose an "authorized representative" to view your documents and complete page 2 of this form for you. You will need to provide their name and email in the DocuSign Form I-9. 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 DocuSign I-9 form.
Employment Eligibility Form I-9 (paper version)
- Lists of Acceptable Documents for I-9 Form
Background Release
Oath of Office
Confidentiality Agreement
Federal Withholding Form W-4
- IRS Tax Withholding Estimator
NYS Withholding Form IT-2104
Direct Deposit - A voided check is required
- Guide to Completing the Direct Deposit Form
Direct Deposit Re-Activation Form (for returning employees whose account information has not changed)
Employee Policies Overview Checklist
Employee Policy Overview
(Optional) Invitation to Self-Identify for Veterans
(Optional) Voluntary Self-Identification of Disability
Long Term Disability Waiver Request Form (UUP and MC Professional)

New Student Employee Required Forms Packet

Employment Eligibility Form I-9 (DocuSign version)
DocuSign Form I-9 Instructions: You will need to choose an "authorized representative" to view your documents and complete page 2 of this form for you. You will need to provide their name and email in the DocuSign Form I-9. 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 DocuSign I-9 form.
Employment Eligibility Form I-9 (paper version)
Lists of Acceptable Documents for I-9 Form
Federal Withholding Form W-4
NYS Withholding Form IT-2104
Direct Deposit - A voided check is required
- Guide to Completing the Direct Deposit Form
Direct Deposit Re-Activation Form
Student Employee Retirement Option

Student Forms

Federal Work Study Award Tracker for Students & Supervisors

Federal Work Study Time Record

Graduate Student Employee Attendance

Information for Students

Student Employee Orientation Checklist

Student Employee Retirement Option

Student Employment Forms Guideline

Student Employment Supervisor Handbook

Student Online Timesheet Instructions

Temp Service Appointment Form

Faculty & Staff Forms

Accident Report

Alternative Work Location Agreement

Applicant Release for Background Investigation

Cancer Screening Leave

Classified Staff Holiday Certification (GP-8)

Classified Time and Accrual Worksheet

CSEA Annual Performance Evaluation

CSEA Dental and Vision Online Enrollment

CSEA Monthly Evaluation Form

Direct Deposit (Guide to Completing Direct Deposit Form)

Direct Deposit Reactivation Request

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

Domestic Partner Enrollment Application & Instructions, PS-425

Domestic Partner Termination Form, PS-425.4

Employee Information Form

Employee On-The-Job Accident and Injury Report

Employees' Retirement System Application for Membership

Estimated Physical Capabilities

Extra Service Form/Extra Service Matrix

Federal Tax W-4 (IRS Tax Withholding Estimator)

FMLA Essential Responsibilities

FMLA Leave Request

FMLA Leave Request - Adoption Placement

Form I-9, Employment Eligibility Verification (Docusign Version)

DocuSign Form I-9 Instructions: You will need to choose an "authorized representative" to view your documents and complete page 2 of this form for you. You will need to provide their name and email in the DocuSign Form I-9. 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 DocuSign I-9 form.

Geneseo Employment Recommendation Form (GER)

Geneseo Pride Nomination

Graduate Assistant/Teaching Assistant Attendance Report Form

Holiday Waiver (Classified Service Only)

Honoraria

Hourly Employee Biweekly Time Sheet

Human Resources Data Request

Human Resources Label Request

Independent Contractor - Checklist for Determining Workers Status

Independent Contractor - Guide to Determining Workers Status

Intent to Retire Form Letter (Classified Service Staff)

Intent to Retire Form Letter (Professional Staff & Faculty)