HR Forms
Health Insurance
NYS Health Insurance Transaction Form (PS-404) PDF
NYS Health Insurance Opt-Out Attestation (PS-409) - PDF
NYS Health Insurance Domestic Partner Packet (PS-425 series) - PDF
Pre-Tax Contribution Program Fact Sheet - PDF
Employees' Retirement System (ERS):
Teachers Retirement System (TRS):
- TRS Membership Application - PDF
Other Benefits
B-140W Application for Tuition and Fee Assistance - PDF
Request for Appendix A-28 Promotion and/or Salary Increase (UUP) - PDF
Address/Telephone/Name Change Form - PDF
Agility Waiver and campus map for University Police 1 Applicants
Authorization for Release of Health Information Pursuant to HIPAA - PDF
Bereavement Form - PDF
Employment Eligibility Verification (I-9)
Information Release Form - PDF
Leave of Absence (Family or Medical) *Employees must contact Human Resources for consultation*
Family & Medical Leave Request Form - PDF
Medical Certification Forms - WH-380-E, WH-380-F, WH-381, WH-382
Medical Certification Form in Response to an Accommodation Request - PDF
Voluntary Reduction in Work Schedule (VRWS) Application - PDF
Voluntary Reduction in Work Schedule (VRWS) Schedule for Use of VR credit - PDF
Dual Employment Form, UP-8 - PDF