Forms

• Personal Data Sheet
• W-4 Employee's Withholding Allowance Certificate
• IT-2104 Employee's Withholding Allowance Certificate New York State, NYC and Yonkers
• IT-2104.1 Employee's Withholding Allowance Certificate of Non-Residence
• Direct Deposit Authorization Form
• Post Offer Veteran Survey Form
• Statement of Computer Usage
• Affirmative Action Form
• I-9 Employment Eligibility Verification Form
• I-9 Instructions
• Institutional Policies and Procedures Manual

Workplace Accommodation Request

• Employee Request Form
• Medical Provider Form

COVID-19 Vaccination Exemptions 

• Medical Exemption Form
• Religious Exemption Form

Statement of Domestic Partnership

• Statement of Domestic Partnership

Flexible Spending Accounts (EBPA)

• Dependent Care Claim Form
• Health Care Claim Form
• EBPA Direct Deposit Form
• FSA Benefits Card Request Form

Qualified Transportation Expenses Plan

• Direct Deposit Form
• Reimbursement Claim Form
• Plan Summary

Tuition Waiver Application

• Tuition Waiver Form for Full-time Faculty and Non-Union Staff
• Tuition Waiver Request Form for PT Faculty Members
• Local 94/1205/32BJ Tuition Waiver Request Form

• Flexible Work and Telework Arrangement Request Form
• Telecommuting Agreement

• Foreign National Data Sheet
• I-9 Employment Eligibility Verification Form
• I-9 Instructions
• Statement of Computer Usage
• Personal Data Sheet
• Direct Deposit Authorization Form

Tax Forms

• W-4 Employee's Withholding Allowance Certificate
• IT-2104 Employee's Withholding Allowance Certificate New York State, NYC and Yonkers
• IT-2104.1 Employee's Withholding Allowance Certificate of Non-Residence
• Taxable Wage Worksheet

Payroll Forms and Documents

• Direct Deposit Authorization
• Payroll Expense Reclassification Request

• NYS Unemployment Record of Employment Form
• Benefits Upon Termination Full-time Faculty and Staff
• Benefits Upon Termination for Part-time Faculty
• Benefits Upon Termination 32BJ Facilities
• Benefits Upon Termination 32BJ Security
• Benefits Upon Termination Local 1205
• Benefits Upon Termination Local 94
• Benefits Upon Termination Temporary Employees
• COBRA Rates for Full-time Faculty and Staff
• COBRA Rates for Part-time Faculty

• Administrator/Instructional Services Approval Form