Human Resources
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Contact Information
Office of Human Resources(315) 792-3276
Forms
Dental Forms
Family Medical Leave Act (FMLA) Forms
Flexible Spending Account Forms
Health Insurance Forms
Payroll Related Forms
Performance Evaluation Forms
Personal Information Change Forms
Retirement Forms
Tax Forms
Tuition Benefit Forms
Other Forms
Dental Forms
Attending Dentist's Statement
Enrollment/Change Form*
*All enrollment/change forms must be submitted through the Office of Human Resources
Family Medical Leave Act Forms
Employee Request for FMLA
Certification of Health Care Provider
Physician Report
Flexible Spending Account Forms
Reimbursement Form-EBS Benefit Solutions
Enrollment Form*
*All enrollment/change forms must be submitted through the Office of Human Resources
Health Insurance Forms
Group Enrollment/Change Form*
Waiver Buy-Out Form
Student Certification Form
*All enrollment/change forms must be submitted through the Office of Human Resources
Payroll Related Forms
Secretarial Clerical Technical Time Sheet
Professional Non-Faculty Compensated Absence Report
Payroll Time Sheet Non-Professional Employees
Direct Deposit Authorization Form
Salary Payment Option for 10 Month Employees
Change/Cancellation For Mailed Bank Deposit of Payroll Checks
W-4 Forms
I-9 Forms
Certificate of Nonresidence and Allocation of Withholding Tax
Annual Fund Payroll Deduction Form
Performance Evaluation Forms
Self Evaluation Form
SCT Performance Evaluation Form
Professional Performance Evaluation Form
Supervisor's Performance Management Guide
Personal Information Change Forms
Personal Information Change Card
Emergency Notification Card
Retirement Forms
Authorization for Voluntary Salary Reduction
Tax Forms
NYS - IT 2104
IRS - W4
Certificate of Nonresidence and Allocation of Withholding Tax
Tuition Benefit Forms
Remitted Tuition Request
Form for TE/CIC/CICU
Cash Grant
Dependent Scholarship
Corporate & Professional Programs Course Request Form
www.tuitionexchange.org
www.cic.org
Other Forms
Position Request Form
Classified Ad Request
Request for Sick Leave Bank & Donation
Internal Transfer Form
Application for Domestic Partner
Summer Employment Application
Employee Confidentiality Form
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