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Forms

Forms

B-140W Application For Tuition And Fee Assistance Benefits
CC-2E-Employee Application for Change in Title or Salary-NYS Classified Service Compensation
Certificate of Enrollment Form  (MSWord)  (PDF) HR
Direct Deposit Form For NYS Employees Payroll
Dual Employment/Extra Service Approval Form Payroll
Extra Service Payroll Voucher Payroll
GA/TA NYS Health Insurance Transaction Form (PS 404-G) Benefits
I-9 Employment Eligibility Verification HR
IT-2104- NYS Tax Withholding Form Payroll
IT-2104-E Certificate Of Exemption From Withholding Payroll
IT-2104.1 - NYS, City of New York and City of Yonkers Certificate of Nonresidence and Allocation of Withholding Tax Payroll
Leave Donation Authorization Form Payroll
Letter To TRS Requesting FAS And Retirement Allowance Without Option  
NYS Health Insurance Transaction Form (PS-404) Benefits
Next Of Kin Affidavit Payroll
Retirement System Election Form Benefits
Retirement Program History Sheet Benefits
Retirement System Election Form Benefits
Salary Reduction Agreement Benefits
Section 211 Application HR
Survivor's Benefit Program Form Benefits
TRS Application For Membership Benefits
UP-13 Group Long-Term Disability Insurance Program Statement of Disability  (MSWord)  (PDF)  HR
UP-211 Approval to Appoint Unclassified Service Retired State Employees (MSWord (PDF) HR
UP-3 Appointments Requiring Approval of the Chancellor or the Board of Trustees (PDF) (UP-3 Guidelines)  (Title F) HR
UP-6 Extra Service Approval Form SUNY-Managerial (MSWord)  (PDF) HR
UP-8 Extra Service Approval Form SUNY-UUP (MSWord)  (PDF) HR
Voluntary Reduction In Work Schedule Benefits
W-4 Employee’s Withholding Allowance Certificate Payroll
U.S. Treasury Securities Direct Deposit Form for NYS Employees Payroll

 

Human Resources