GENERAL EMPLOYMENT FORMS AND INSTRUCTIONS
- For name changes, please also update your Computer Account by submitting a ticket on the Information Technology Services webpage.
Employee Action Form:
- Employee Action Guide - October 2022
- Employee Action Form - July 2021 *Complete this fillable pdf online; do not print and fill out by hand*
Transfer Sign-Off 2023Supervisor Checklist for New Employees 2023Separation Procedures and Sign-Off 2023
Voluntary Reduction in Work Schedule (VRWS):
SUNY Telecommuting Program:
Professional Staff Performance Management Life Cycle (March 2020)
Performance Evaluations:
- UUP Performance Program (pdf - Apr 2019)
- UUP Performance Program (Word doc - April 2019)
- UUP Performance Evaluation (pdf - Nov 2020)
- UUP Performance Evaluation (Word doc - Nov 2020)
- Frequently Asked Questions about Professional Perf Mgmt Documents
- SMART Goal Development Support
Extra Service
Performance Evaluations:
- Classified Performance Evaluation
- PEF Performance Evaluation Form
- Probation Reporting Form
- Request to Review Personnel File - Classified - April 2023
Classified Staff Presidential Recognition Awards:
Classified Staff Presidential Recognition Award Description
Classified Staff Presidential Recognition Award Nomination Form - 2019
Hiring Forms:
- Instructions for Hiring Classified Employees
- Classified Service Staff Request & Authorization (Word doc.) - Apr 2019
- Classified Service Staff Request & Authorization (Fillable .pdf) - Apr 2019
Bid Sheets:
BENEFITS
- Productivity Enhancement Program (PEP) for 2022
- PEP 2023 Overview and Enrollment Form - MC & UUP (enroll 11/1/22-12/12/22)
- PEP 2023 Program Summary - CSEA & PEF
- PEP 2023 Enrollment Form - CSEA & PEF (enroll 11/1/22-12/12/22)
- Health Care Provider Certification for Employee's Serious Health Condition (FMLA) - 3-23
- Health Care Provider Certification for Family Member's Serious Health Condition (FMLA) - 3-23
- Health Insurance Domestic Partner Enrollment Instructions and Form
- MC Life Insurance Statement of Health
- Confidential Medical Statement - April2023
- Health Insurance Transaction Form - PS 404 - Jan 2023
- Health Insurance Transaction Form Documentation Requirements (for PS-404)
- Pre-Tax Contribution Program (PTCP) PTCP Change Chart and PTCP Fact Sheet for NYS Active Employees Enrolled in NYSHIP
- Health Insurance Opt-Out Attestation Form PS409 - August 2019
- NYSHIP Request for Coverage Under the Young Adult Option
- Flexible Spending Account (FSA):
- Americans with Disabilities Act (ADA):
- Military Leave for Combat-related Healthcare Services - Nov 21
- Retirement at Work Website (Retirement Enrollment & Management System)
- Phased Retirement Program for Full-Time Academic Faculty
- Request for Phased Retirement Form (Faculty)
- Phased Retirement Program for UUP and MC Professionals
- Request for Phased Retirement Form (MC or Professional Staff)
- ERS (Employees' Retirement System) Registration - Form 5420
- TRS (Teachers' Retirement System) Member Application
- Police and Fire Membership Registration - Form PF 5022
- Re-Employment of Retired Public Employees Policy 12-2018)
- RSSL (Retirement System and Social Security Law) Information & Acknowledgement Form
- Tuition Assistance - B-140W 2021
- Tuition Assistance - UUP Space Available Form (for use at New Paltz)
- Tuition Assistance - Technology, Athletic & Health Center Fee Waiver (NP Employees Only)
Dental Plan Forms:
Carrier | Group of Employees |
---|---|
UUP Benefit Fund/Delta Dental | UUP |
CSEA Benefit Fund* | CSEA |
GHI Dental* | M/C, NYSCOPBA, PBANYS, PEF, GSEU |
Vision Plan Information:
CSEA Benefit Fund | CSEA | 800-323-2732 |
Davis Vision | UUP | 800-887-3863 |
NYS Vision Plan (Davis Vision) | M/C, NYSCOPBA, PBANYS, PEF, GSEU | 888-588-4823 |
Retirement System Forms:
NYS Employees' Retirement System* | ALL |
Membership application |
NYS Teachers' Retirement System | UUP, M/C | |
SUNY Optional Retirement System investment providers: ING, MetLife, Valic, TIAA-CREF | UUP, M/C | Contact Human Resources for various forms |
Tuition Assistance | Contact Human Resources for various forms |
Other Benefits Forms:
Retirement and Social Security Law Information & Acknowledgement Form*