fredonia.edu : Human Resources : Forms - Human Resources, SUNY Fredonia

Human Resources

Forms


The following forms are in Microsoft Word or PDF format and can be downloaded and printed for your convenience. Download free Adobe Acrobat Reader to view forms in Portable Document Format (PDF).
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  Benefits

Breast Cancer Screening Leave - Word | PDF
Group Long Term Disability Insurance Program - Word | PDF
NYS Health Insurance Transaction Form - PDF
NYS Long Term Care Insurance Plan (NYPERL) Notice & Fact Sheet - PDF
Prostate Cancer Screening Leave - Word | PDF
Salary Reduction Agreement - PDF

  Optional Retirement Program:
  • Public Retirement System Determination (ORP4) - PDF
  • Retirement Program History & Election Forms - PDF
  • Retirement Consultation Verification - Word

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 Classification & Compensation

Application for Change in Title or Salary - PDF
Existing Position Description - Word | PDF
New Position Description - Word | PDF

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 Employment

Address/Telephone/Name Change Form - PDF
Employee Action Form - Word | PDF
Employee Leave Certification - PDF
Employment Eligibility Verification (I-9) - PDF
Honorarium - XLS
Leave Donation Form - Word | PDF 
Request for Approval of Professional Appointment - PDF
Request for Leave of Absence - Word | PDF
Request for Leave of Absence, Instructions - PDF 
Request for Prior Service Credit - Academic - Word | PDF
Request for Prior Service Credit - Non-teaching Professional - Word | PDF
Request for Sabbatical Leave - Word
Verification - Start of Work (Started) - Word | PDF
Verification - Start of Work (Returned) - Word | PDF

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 Faculty and Professional Searches

Information to Hire - Word
Non-Selection Letter Template - Word
PeopleAdmin Posting Template for Faculty and
   Non-teaching Professional Vacancies - Word
Search Committee PeopleAdmin Instructions - Word
Search Procedure Workflow - PDF
Travel Guidelines for Searches - Word

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 Handbook on Appointments, Reappointments,
and Promotions (HARP) for UUP - PDF

Appendix A: Department Personnel Committee (DPC) Ballot - Word | PDFAppendix B: Academic Personnel Committee (APC) Ballot - Word | PDFAppendix C: Conflict of Interest (COI) Form - Word | PDFAppendix D: Suggestions for Preparing a Dossier for Reappointment,
   Continuing Appointment, or Promotion - PDFAppendix E: Performance Program Form - Click HereAppendix F: Performance Evaluation Form - Click HereAppendix G: Request to Pause the Tenure Clock - Word | PDFAppendix H: Request to Pause the Permanent Appointment Clock - Word | PDFAppendix I: Emeritus Application - Word | PDF

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 Payroll           

Direct Deposit of Salary Enrollment/Change Form - PDF
Dual Employment Form, UP-8 - Word | PDF
Federal Employee Withholding - Form W-4 - PDF
Honorarium - Word | PDF
New York State Employee's Withholding Allowance Certificate (IT-2104) - PDF

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  Performance Program & Performance Evaluation

PP/PE Forms are located HERE

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 Workers' Compensation

Report of Accident or Injury (other than a motor vehicle accident) - PDF

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Page modified 3/13/13