Alphabetical List

• Adjuncts United - Dependent Benefits Coverage ( PDF version)
• Adjuncts United - Health Care Reimbursement Form ( PDF version)
• Adoption Assistance Plan Form
• Alternative Job Transaction (AJT) Form
• Americans with Disabilities Act (ADA) Form
• Application for Disability/Maternity Benefits ( PDF version)
• Certification of Group Insurance Plan Coverage ( PDF version)
• Data Request Form
• Declaration of Marriage, Domestic Partnership, or Civil Union Form
• Delta Dentist's Statement Form
• Demographic Action Notice
• Demographic Action Notice, Unpaid Visiting Faculty/ Faculty Associates/Research Faculty/Research Associates ( PDF version)
• Dependent/Beneficiary Form
• Dependent Care Flexible Spending Account Form
• Dependent Tuition Benefit Application Form ( PDF version)
• Faculty Parental and Maternity Leave Checklist for Deans and Chairs
• Faculty Parental Leave Form
• Faculty Voluntary Phased Retirement Form ( PDF version)
• Flexible Work Arrangement Proposal and Approval Form
• FTE Calculator
• Health Care Flexible Spending Account Form
• Health Care Provider Information for Reasonable Accommodation Request Form
• Health Care Provider Release Form
• HIPAA Authorization Form for Employee, Spouse/Domestic Partner, and Dependents
• Job Information Questionnaire (JIQ)
• Job Offer Letter - Exempt
• Job Offer Letter - Non-Exempt
• Job Offer Letter - SEIU
• Job Offer Letter - SEIU Food Services
• Leave Request Form ( PDF version)
• Medical History Statement - The Standard Life Insurance Company
• Medco Mail Order Fax Form
• Medco Mail Order Form
• Medco Reimbursement Form
• MetLife Quote Request Form
• MetLife Insurance Beneficiary Form
• MetLife Insurance Statement of Health Form
• Name Change Form
• Pay Notification - Exempt
• Pay Notification - Faculty
• Pay Notification - Non-Exempt
• Pay Notification - Non-Exempt SEIU Bargaining Unit
• Pay Notification - User Instruction Memo
• Payroll Allocation (PAR) Form
• Payroll Processing Calendars
• Performance Partnership - General Form
• Performance Partnership - Goals and Development Worksheet
• Performance Partnership - Narrative Form (recommended for S6 and above)
• Performance Partnership - Self Assessment
• POMCO Health Reimbursement Form
• Position Approval Memo (PAM) Form Instructions
• Position Approval Memo (PAM) Form
• Position and Search Administrative Approval
• Probationary Assessment Form
• Reference Check Form
• Remitted Tuition Credit Allocation Authorization ( PDF version)
• Request For Additional Pay (RAP) Form
• Request for Reissue of Form W-2
• Return to Work - Faculty
• Return to Work - Staff ( PDF version)
• Schedule B Application Form ( PDF version)
• SEBF Dentist's Statement Form
• SEIU Bargaining Unit – Affidavit of Opposite-Sex Domestic Partnership for Funeral Leave Form
• SEIU Bargaining Unit – Business Authorization/Time Record Form
• SEIU Bargaining Unit – Dues Deduction, Initiation Fee and Assessment Authorization Form
• SEIU Bargaining Unit – Job Appointment Letter
• SEIU Bargaining Unit – Statement of Termination of Opposite-Sex Domestic Partnership Form
• SEIU Bargaining Unit – Reference Check Form
• Separation Checklist – For Employees Leaving the Employment of Syracuse University
• Staff Complaint Process Notification of Complaint ( PDF version)
• Staff Complaint Process Request for Appeal ( PDF version)
• Termination of Domestic Partnership Form ( PDF version)
• TIAA-CREF Enrollment Form for RA
• TIAA-CREF Enrollment Form for (G)SRA
• TIAA-CREF Enrollment Form for 457(b)
• TIAA-CREF Voluntary 403(b) Salary Reduction Form
• TIAA-CREF Voluntary 457(b) Salary Reduction Form
• TIAA-CREF Waiver Letter and Form ( PDF version)
• Tuition Exchange Request Form ( PDF version)
• VSP Reimbursement Form
• W-4 Form
• Youth Program Questionnaire

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Prospective Employees • Faculty • Staff • Retirees

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Skytop Office Building, Skytop Road
Syracuse, NY 13244
315 • 443 • 4042 / hrservic@syr.edu