Human Resources Forms

Appointment

Benefits

CSEA Change of Address Form

CSEA Dental/Vision Enrollment Form

CSEA Membership Application Form

CSEA Student Verification Form

Employees' Retirement System Membership Registration Form

M/C Davis Vision Student Verification Form

M/C GHI Dental Student Verification Form

NYPERL Fact Sheet

NYS Health Insurance Transaction Form (PS-404)

NYS Health Insurance Transaction Form Instructions (How to Complete the PS-404)

ORP-4: ERS Determination

PS - 409 Opt Out Attestation Form

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

Retirement Election Form (2 pages)

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 Membership Application

UUP Student Verification Form

Classification

FLSA Questionnaire Professional Staff

Job Description Questionnaire

Independent Contractor - Checklist for Determining Workers Status

Independent Contractor - Guide to Determining Workers Status

Refilling Vacant Positions: Staffing Plan - Support Documentation

Request for Reclassification of Classified Position

Leaves

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

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 Servicemember- for Military Family Leave

Payroll

Direct Deposit

Direct Deposit Reactivation Request

Extra Service Payroll Voucher

I-9 Employment Eligibility Verification

Federal Tax W-4

NYS Tax Withholding IT-2104

Overtime Authorization

Salary Reduction Agreement (for TDA's & SRA's)

W-2 Reprint Request

Performance Management

Annual Performance Evaluation - CSEA

M/C Performance Program and Evaluation

M/C Performance Appraisal (NU-06)

Monthly Evaluation - Classified Staff

Professional Evaluation

Professional Performance Program

Professional Review Request

Professional Self-Evaluation

Performance Evaluation Program/Employee Worksheet Form - PEF

Performance Evaluation Program Form - PEF

Time & Attendance

Breast 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

Hourly Employee Biweekly Time Sheet

M/C & Professional Monthly Attendance Report

Professional Employee Time Sheet for Non-Exempt Staff

Prostate Cancer Screening Leave

Part-Time Faculty Attendance Cert.

Time Off Request

Voluntary Reduction in Work Schedule Application (VRWS)

Voluntary Reduction in Work Schedule Guidelines

Training & Development

Tuition Waiver B-140W

UUP Tuition Waiver Application

Student

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

Temp Service Appointment Form

Temp Service Time Record

Miscellaneous

Geneseo Pride Nomination

Human Resources Data Request

Human Resources Label Request

Reasonable Accommodation Request

Alternative Work Location Agreement for Professional Staff

Request to View Personnel File

Phased Retirement Eligibility Application for Faculty