Human Resources Forms
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
- Vacancy Announcement (Classified Service)
- Vacancy Announcement Facilities Services (Classified Service)
- Voluntary Self-Identification of Disability
- Waiver of Recruitment
Appointment Forms
Change of Directory 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: CLICK HERE!
- 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)
- 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
- Title F Leave Application
- Volunteer Application
Benefits Forms
- CSEA Change of Address Form
- CSEA Dental/Vision Enrollment Form
- 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)
- NYSHIP Opt Out Attestation Form PS-409
- ORP-4: ERS Determination
- 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 Benefit Fund Address Change Form
- UUP Change in Dependent/Marital Status Form
- UUP Dental/Vision Enrollment Form
- UUP Life Insurance Form
- U UP 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 Student Verification Form
Ethics Forms
- Honoraria
- Official Activity Expense Payment
- Outside Activity for Policy Makers Only
- Outside Activity for Policy Makers Only (if over $5,000)
Leaves Forms
- Employee On-The-Job Accident and Injury Report
- Estimated Physical Capabilities
- Estimated Physical Capabilities for Security Services and Supervisors
- FMLA Essential Responsibilities
- FMLA Leave Request
- FMLA Leave Request - Adoption Placement
- NYS Paid Family Leave
- NYS Paid Family Leave Statement of Rights
- Return to Work Form
- WH-380E: Certification of Health Care Provider for Employee's Serious Health Condition
- WH-380F: Certification of Health Care Provider for Family Member's Serious Health Condition
- WH-384: Certification of Qualifying Exigency for Military Family Leave
- WH-385: Certification of Serious Injury or Illness of Covered Service Member- for Military Family Leave
Payroll Forms
- Direct Deposit
- Direct Deposit Reactivation Request
- Extra Service Payroll Voucher
- Federal Tax W-4
- NYS Tax Withholding IT-2104
- Overtime Authorization
- Salary Reduction Agreement
- W-2 Reprint Request
Performance Management Forms
- Annual Performance Evaluation - CSEA
- M/C Performance Program
- M/C Performance Evaluation
- M/C Performance Appraisal (NU-06)
- Monthly Evaluation - Classified Staff
- Professional Evaluation
- Professional Performance Program
- Professional Review Request
- Professional Self-Assessment
- Professional Secondary Source
- Performance Evaluation Program/Employee Worksheet Form - PEF
- Performance Evaluation Program Form - PEF
- Performance Evaluation Form for UP 01
- Performance Evaluation Form for UP 02
Time & Attendance Forms
- Cancer Screening Leave
- Classified Employee Biweekly Time Sheet
- Classified Staff Holiday Certification (GP-8)
- Classified Time and Accrual Worksheet
- Professional Time and Accrual Worksheet (Monthly)
- Full Time Faculty Attendance Cert.
- Faculty Monthly Exception Report
- Graduate Assistant/Teaching Assistant Attendance Report Form
- Holiday Waiver (Classified Service Only)
- Hourly Employee Biweekly Time Sheet
- M/C & Professional Monthly Attendance Report
- Productivity Enhancement Program - Classified Service Employees
- Productivity Enhancement Program - MC Professional Employees
- Productivity Enhancement Program - UUP Professional Employees
- Professional Employee Time Sheet for Non-Exempt Staff
- Part-Time Faculty Attendance Cert.
- Time Off Request
- Voluntary Reduction in Work Schedule Application (VRWS)
- Voluntary Reduction in Work Schedule Guidelines
Training & Development Forms
Student Forms
- Change of Address
- Federal Work Study Time Record
- Federal Work Study Award Tracker for Students & Supervisors
- Graduate Student Employee Attendance
- Information for Students
- Student Employee Orientation Checklist
- Student Employment Supervisor Handbook
- Student Employee Retirement Option
- Student Employment Forms Guideline
- Student Online Timesheet Instructions
- Temp Service Appointment Form
- Temp Service Time Record