Forms

New Hire Health and Pension Enrollment Forms

• PSC
• Classified
• Adjuncts

Open Enrollment 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: Saving Plans Forms

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

Optional Benefit Forms

• Transit Benefit Form
• Flexible Spending Account Plans
• 511 NY Rideshare
• 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)
  • Paid Parental Leave - Maternity
  • Paid Parental Leave - Paternity
• 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 Policy
• Multiple Position Form

Transfer Roster Application (Classified Only)

• Application for Non-Competitive Titles (Custodial, Nurses or Laborer)
• Application for Competitive Titles (COA, Public Safety, etc.)

Exit/Seperation

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

• Ending Employment