Forms

New Hire Health and Pension Enrollement Forms

• PSC
• Classified
• Adjuncts

Open Enrollement Forms

• PSC
• Classified

Retirement Forms 

Please reach out to HR to obtain all required forms and instructions

• Travia (PSC)
• Terminal Leave (Classified)
• Retiree Change of Address
• Phased Retirement Forms (PSC-Faculty)
• Phased Retirement Forms (PSC Professional Staff)

Supplemental Pension: Pre-Tax Saving Plans Forms

• 529 College Savings
• TIAA SRA
• NYS 457
• 401K

Optional Benefit Forms

• Flexible Spending Account Plans
• 511 NY Rideshare
• Term Life Insurance (PSC)
• Transit Benefit Form
• Tuition Waiver

Time and Leave Forms

• FMLA Application Forms - Please reach out to HR for instructions - FMLA requires minimum 30 days notice for foreeable leave
  • Own Illness
  • Family Member
• Non-FMLA Application Forms
  • Own Illness
  • Family Member
• Paid Parental Leave (PSC)
• Disability 
  • LT Disability (PSC)
  • ST Disability (DC37)
• Workers Comp Forms - Please reach out to HR
  • Employee
  • Supervisor & Witness
• Dedicated Sick Leave
  • Application to Donate
  • Application to Receive
• Child Care Leave of Absence - Unpaid
  • Classified
  • PSC
• Fellowship Leave
• Application for Scholar Incentive
• Library Reassignment
• Special Leave of Absence Without Pay
• Partial Leave of Absence With Partial Pay
• Comp Time Authorization Form (Classified)

Multiple Position 

• Multiple Position Form

Transfer Roster Application (Classified Only)

• Application for non-competitive
• Application for competitive

Exit/Seperation

Please reach out to HR right away with at least 2 weeks advance notice

• Ending Employment