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Benefits (Health Insurance, Dental, Vision, Tuition Assistance, etc.)
- Address Change
- CHOICES Health Insurance Booklet For Employees of the State of New York who are unrepresented or in Negotiating Units that have agreements/awards with New York state effective October 1, 2011 or later, Employees of Participating Employers, and for COBRA enrollees with their NYSHIP benefits
- CSEA Dental Claim For CSEA represented staff to submit dental expenses to the union's employee benefit fund
- CSEA Full-Time Student Verification To verify that a dependent child age 19 or over is a full-time student for dental and vision benefits provided by the CSEA Benefit Fund
- CSEA Prescription Co-Pay Reimbursement Drug Claim form for CSEA benefits fund covered prescription drug co-pay expenses
- Davis Vision Student Verification Form To verify that a dependent child age 19 or over is a full-time student for dental and vision benefits provided by UUP, MC, PBA-NYS, NYSCOPBA and PEF dental benefits.
- Dependent Care Advantage Account Reimbursement (Flexible Spending) To request reimbursement for dependent care related expenses from your existing flexible spending account. Daycare or elder care expenses for example.
- Domestic Partner Application for Benefits (PS-425) Affidavit of domestic partnership and financial interdependence. For employees in the following bargaining units: CSEA, UUP, PEF, GSEU, PBA, M/C, NYSCOPBA.
- Domestic Partner Termination of Partnership (PS-425.4) To request a termination of a domestic partnership.
- Empire Plan Non-Participating Claim To request reimbursement for expenses from a non-participating health care provider.
- Empire Plan Pharmacy Reimbursement Claim To request reimbursement for prescription drug expenses when paid out of pocket.
- Empire Plan Pharmacy Mail Order Form To request mail order of prescription drugs.
- EyeMed Full-Time Student Verification To confirm full-time student status for dependents age 19-24 when using the EyeMed vision plan. For M/C, PEF, Council 82 and NYSCOPBA only.
- GA/TA Employment & Benefits Checklist For new, returning or rehired graduate and teaching assistants.
- GHI Dental Claim To request reimbursement for dental claims. For GSEU, M/C, PEF, Council 82 and NYSCOPBA only.
- GHI Full-Time Student Verification To confirm full-time student status for dependents age 19-24. M/C, PEF, Council 82 and NYSCOPBA only.
- For Graduate Student Employee Union health plan enrollment or changes.
- GSEU Health Insurance Enrollment Instructions for PS-404G Instructions for completing the form PS-404G GSEU Health Insurance Enrollment Form.
- GSEU Health Insurance Summer Continuation Notice GSEU Health Insurance Summer Continuation Notice.
- To request reimbursement for health care related expenses from your existing flexible spending account.
- Health insurance enrollment and changes for faculty and staff.
- Form to opt out of health insurance coverage.
- State University Tuition Waiver Program Application and Instructions Request reimbursement for all or part of an employee's tuition cost.
- For employees represented by UUP.
- Dental and vision enrollment for United University Professions (UUP) represented employees.
- To notify UUP Benefit Trust Fund of marital status or dependent changes for dental and vision benefits.
- UUP Delta Dental Claim For UUP represented faculty/staff to submit dental claims.
- For dependents of UUP represented faculty/staff between ages 19 and 25.
- For all faculty/staff represented by UUP; First UNUM Life Insurance Co.
- UUP and MC Unclassified Long Term Disability Application For MC unclassified and UUP professionals.
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Employment
- See attached policy
- Email Information for New Faculty/Staff Information on how to access your new email address at 黑料视频.
- Employee Information Form Personal and demographic information; required for all new hires and changes in status.
- I-9 Employment Eligibility To document that each new employee (both citizen and non-citizen) hired after November 6, 1986 is authorized to work in the United States.
- Certifies that a State employee has read and understands the NYS Public Officer's Law. Required for all new faculty/staff and graduate/teaching assistants and those changing official budget titles.
- PA-81 Internal Application for Promotion For classified service, non-competitive, labor class promotion. Employee's status must be permanent or contingent permanent.
- Phased Retirement Request For UUP and Management Confidential staff requesting to work less than full-time as near retirement.
- Prior Service Credit Request for Faculty Prior service request form for faculty hired in a tenure track position.
- Professional Employee Promotion/Reclassification/Salary Increase Request For non-teaching, UUP represented, professional staff. Requests accepted during appropriate window.
- Faculty/Staff Handbook Receipt Acknowledgment of receipt of the Faculty and Staff Handbook information.
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Hiring and Recruitment
- ADA Cover Memo Americans with Disabilities Act Memo.
- ADA Position Analysis Americans with Disabilities Act position analysis.
- ADA Position Description Americans with Disabilities Act position description.
- For search committee use. Submit to Office of Diversity, Equity & Inclusion for approval.
- 黑料视频 Education History Addendum Attach as needed to the employment application form.
- 黑料视频 Employment Application Application for employment.
- 黑料视频 Employment History Addendum Attach as needed to the employment application form.
- Professional Vacancy Worksheet To assist Human Resources with the posting of a professional vacancy.
- Recruitment Links For a list of various sources to advertise with for a position you are hiring for.
- Verification of Candidate Credentials For professional vacancy search committee use.
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HR Masters and Coordinators
- 2019-2020 Student Assistant & Federal College Work Study HR Payroll Processing Deadlines Deadlines for HR payroll & transaction processing for the Student Assistant and Federal College Work Study payrolls.
- 2019-2020 Student Paycheck Dates Payroll calendar for Student Assistant & FCWS.
- 2019-2020 Obligation & Payroll Appointment Dates Document outlining obligation and appointment dates for all payrolls.
- 2019-2020 Payroll Deadlines for Timesheets Coded UUP-HRY, CLS-HRYA & CLS-HRY Payroll calendar for Timesheets Coded UUP-HRY, CLS-HRYA & CLS-HRY.
- 2020-2021 Obligation & Payroll Appointment Dates Document outlining obigation and appointment dates for all payrolls.
- Agreement to Protect Confidential Information Agreement to protect confidential information.
- Appointing to Faculty Titles Instructions on how to appoint to faculty titles.
- Dual Employment Form (AC-1588) Form to be completed by employees working for multiple state agencies.
- Extra Service Checklist Checklist of forms to be completed to process extra service.
- Extra Service Payroll Voucher (AC-873) Time record to be completed for Dual Employment Extra Service.
- Extra service policy.
- Extra Service Request Form Form to be completed by departments paying for on campus extra service for state employees.
- UP-8 For UUP employees to request approval for extra service at another state agency.
- UP-6 For Management Confidential employees to request approval for extra service at another state agency.
- HR Forms "Which Form Do I Use" Instructions for which HR Form to use.
- Organization Request Form Request form for creating/updating organizations.
- Position Request Form for State Payrolls Position request form for all payrolls.
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Immigration Services
- Extend H-1B Questionnaire for department Questionnaire for extension of H-1B for department completion.
- Extend H-1B Questionnaire for employee Questionnaire for extension of H-1B for employee completion.
- Immigration Process for department Flow chart of immigration process for departments.
- Initial H-1B Questionnaire for department Questionnaire for initial H-1B for department completion.
- Initial H-1B Questionnaire for employee Questionnaire for initial H-1B for employee completion.
- 2019 Tax Withholding Guide for International Students and Scholars 2019 tax withholding guide for International Students and Scholars.
- Visa Options Common visa categories used to hire international employees.
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Leaves
- Confidential Medical Statement To be completed by a health care provider.
- Confidential Medical Statement (Work Related Injury) To be completed by a health care provider for a work-related injury.
- Confidential Medical Statement (CSEA only) To be completed by a health care provider for non work-related injuries (CSEA only).
- Confidential Medical Statement (Cancer Screening) To be completed by a health care provider.
- Family and Medical Leave Act request form.
- Family and Medical Leave Act request form.
- Family and Medical Leave Act request form.
- Family and Medical Leave Act request form.
- Leave Donation (for all bargaining units) To donate vacation leave to cover an "eligible" employee's sick leave.
- Tenure Clock Stop Request Form Request form to stop tenure clock.
- Title F Leave Request for Faculty See Faculty/Staff handbook section IV.B.2. Leave of Absence (Title F Leave).
- Title F Leave Request for Professionals For UUP represented professional staff.
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Miscellaneous
- Child Protection Processing Guidelines Child Protection Processing Guidelines.
- Volunteer Information Collection Form and Agreement Volunteer Information Collection Form and Agreement.
- Online HR data report request for campus use of 黑料视频 HR Coordinators and HR Masters only.
- STAR Recognition Program Nomination To nominate a campus employee for the STAR employee recognition award.
- Workplace Violence Policy Workplace violence policy.
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Payroll
- Direct Deposit (AC-2722) For new, changes or deletions of direct deposit of your payroll into your bank account(s).
- Direct Deposit Reactivate To reactive an existing direct deposit which may have lapsed. May NOT be used to start a new direct deposit allocation.
- To withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.
- Honoraria Payment FAQ's Frequently asked questions regarding honoraria payments.
- Policy regarding honoraria payments to faculty and professional staff.
- New York State, City of New York, and City of Yonkers Certificate of Nonresidence and Allocation of Withholding Tax.
- To claim exemption from withholding for New York State personal income tax (and New York City and Yonkers personal income tax, if applicable).
- To withhold the correct New York State income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.
- SUNY Charitable Giving Campaign Payroll Deduction You can give to the State University of New York campus of your choice through the SUNY Charitable Giving Campaign.
- Treasury Direct Deposit Form ONLY.
- Unclaimed Check Policy Unclaimed check policy.
- W2 Reissue Request Form to request a W-2.
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Performance Management
- Alternate Work Location Assignment Request Form Request form for an Alternative Work Location Assignment
- Classified Service Performance Program/Evaluation Performance program and evaluations for all classified service staff
- Professional Employee Evaluation For non-teaching, UUP represented professional staff
- Professional Employee Performance Program For non-teaching, UUP represented professional staff
- For non-teaching, UUP represented professional staff
- Professional Employee Self-Evaluation For non-teaching, UUP represented professional staff
- Performance Program Addendum For non-teaching, UUP represented professional staff. Used to add something to the performance program that is already in place.
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Retiree Services (Forms for Retired Employees)
- 黑料视频 Service Preference Checklist for 黑料视频 retirees
- Retire Contact Information Form Contact information form for 黑料视频 retirees'
- Retiree Survey Survey for 黑料视频 retirees'
- Retiree Volunteer Form Form for 黑料视频 retiree volunteers
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Retirement (Forms for Current Employees)
- ERS Address Change (RS-5512) Change of address form for active Employees' Retirement System members only (not retirees).
- For Tier 1 and Tier 2 Employees' Retirement System members to request a loan.
- For Tier 3 and Tier 4 Employees' Retirement System members to request a loan.
- Employees' Retirement System membership registration form Beneficiary Form Link ERS Application.
- ERS Name Change (RS-5483-I) To notify the Employees' Retirement System of a legal name change.
- Access to Retirement@Work online registration system and initial retirement plan enrollment (or declination) instructions.
- Instructions for enrolling in the SUNY 403(b) Voluntary Savings Plan.
- Instructions for making changes to your existing SUNY ORP and/or 403(b) Voluntary Savings Plan contributions.
- Instructions to enroll in the SUNY Optional Retirement Program (ORP) NOTE: eligibility rules apply.
- Retirement@Work Tax Deferred Annuity (TDA) Choosing an Effective Date Guide Guide to assist you with choosing the effective date for online change requests to 403(b) contributions.
- Retirement System Option for Student Employees Form to acknowledge retirement system options for student employees.
- Plan comparison of the Voluntary Savings Plan (403b) vs. NYS Deferred Compensation Plan (457).
- NYS University Police Retirement System enrollment form.
- TRS Beneficiary Designation (NET-11.4) Designation of beneficiary for active Teachers' Retirement System members only (not retirees).
- For Teachers' Retirement System members to request a loan.
- Teachers' Retirement System membership registration form.
- To notify the Teachers' Retirement System of a legal name/address change.
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Time and Attendance
- Accrual rates for vacation/annual, sick and personal leave accruals.
- Classified Annual Time Sheet (CLS-ANN) For classified service staff with an annual pay basis.
- Classified Hourly with Attendance Rules Time Sheet (CLS-HRYA) For classified service staff with an hourly pay basis and attendance rules coverage.
- Classified Hourly without Attendance Rules Time Sheet (CLS-HRY) For classified service staff with an hourly pay basis and NO attendance rules coverage.
- Log-in to SUNY.edu for Time & Attendance for all Faculty.
- Federal College Work Study (28023) Time Sheet Time Sheet for students of the federal college work-study payroll (28023) only.
- Graduate and Teaching Assistant Time Sheet Time Sheet for graduate and teaching assistants on the 28029 payroll only.
- Log-in to SUNY.edu for Time & Attendance for all Management/Confidential staff.
- Log-in to SUNY.edu for Time & Attendance for UUP represented professional staff with an Annual or College Year obligation.
- Time Record for Professional Non-Exempt employees.
- Professional Hourly Staff Time Sheet (UUP-HRY) For UUP represented professional staff with an hourly pay basis.
- Student Assistant (28021) Time Sheet Time Sheet for students on the student assistant payroll (28021) only.
- Classified Accrual Instructions Accrual instructions for classified employees.
- Faculty Accrual Instructions Accrual instructions for faculty.
- Graduate Student Accrual Instructions Accrual instructions for graduate students.
- M/C Professional Accrual Instructions Accrual instructions for M/C professional employees.
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Workers Compensation, Accidents, Accommodations
- Accident or Injury Reporting (Part 1 and CS-13) To report an accident or injury on campus property/work-related.
- Workers' Compensation Reporting Procedures A document outlining the necessary steps for reporting an accident at work.
- Confidential Medical Statement for Work-Related Disability A document to report a work related disability.
- Estimated Capabilities Form A document to report estimated capabilities.
- Reasonable Accommodation Information on Reasonable Accommodation.
- Reasonable Accommodation Form Request for Reasonable Accommodation.