Forms

Use the search box below to filter the forms table by keyword.

If you require accommodations to access any information on this webpage, please contact HR Shared Services at 315.443.4042.

CategoryForm Name
Benefits: Claim FormsExcellus BCBS Claim Form
Benefits: Claim FormsExcellus BCBS International Claim Form
Benefits: Claim FormsWageWorks - Health Care Flexible Spending Account (FSA) Claim
Benefits: Claim FormsWageWorks - Dependent Care Flexible Spending Account (FSA) Claim Form
Benefits: Claim FormsDelta Dental Claim Form
Benefits: Claim FormsAdoption Assistance Reimbursement Form
Benefits: Claim FormsHIPAA Authorization Form for Use and Disclosure of Protected Health Information
Benefits: Claim FormsMetLife Beneficiary Designation for Life Insurance Benefits
Benefits: Applications/Enrollment FormsDeclaration of Marriage, Domestic Partnership, or Civil Union
Benefits: Applications/Enrollment FormsTermination of Domestic Partnership Form
Benefits: Applications/Enrollment FormsDependent Add/Drop Form
Benefits: Applications/Enrollment FormsDependent Care Subsidy Application Process
Benefits: Applications/Enrollment FormsMetLife Request for Auto/Home Insurance Quote
Benefits: Applications/Enrollment Forms Schedule B Reduced Medical Contribution Application Process
Benefits: Applications/Enrollment FormsStatement of Health for MetLife Insurance Approval (use for late enrollment or increase in coverage)
Benefits: Applications/Enrollment FormsMedical History Statement for Long Term Disability Coverage through The Standard (use for late enrollment)
Benefits: TIAA Retirement AccountSalary Reduction Form: 403(b) Voluntary Retirement Plan (use to indicate the amount to be deducted from your paycheck to contribute to your 403(b) account)
Benefits: TIAA Retirement AccountSalary Reduction Form: 457(b) Deferred Compensation Form (use to indicate the amount to be deducted from your paycheck to contribute to your 457(b) account)
Benefits: TIAA Retirement AccountTIAA Waiver Letter and Form
Benefits: Tuition ProgramsRemitted Tuition Credit Allocation
Benefits: Tuition ProgramsDependent Tuition Benefit Application Process
Benefits: Tuition ProgramsTuition Exchange EZ Application
Benefits: RetireesLifetime Benefit Solutions Automatic Payment (ACH) Request Form
Benefits: RetireesRetiree Medical Election Form
Benefits: RetireesRetiree - Opt-In Medical Form
Benefits: RetireesRetiree - Opt-Out Medical Form
Employee InformationPersonal Information Form (PIF)
Employee InformationName Change Form
CompensationPosition Evaluation Request (PER) Template
SEIU Bargaining UnitSEIU Bargaining Unit: Business Authorization/Time Record
SEIU Bargaining UnitSEIU Bargaining Unit: Dues Deduction, Initiation Fee and Assessment Authorization
SEIU Bargaining UnitSEIU Bargaining Unit: Affidavit of Opposite Sex Domestic Partnership
SEIU Bargaining UnitSEIU Bargaining Unit: Statement of Termination of Domestic Partnership
Leave of Absence & DisabilityRequest for Paid Family Leave to Bond with a Child
Leave of Absence & DisabilityRequest for Paid Family Leave to Care for a Family Member with a Serious Health Condition
Leave of Absence & DisabilityRequest for Paid Family Leave for a Military Exigency
Leave of Absence & DisabilityApplication for Disability/Maternity Benefits
Leave of Absence & DisabilityReturn to Work: Faculty
Leave of Absence & DisabilityReturn to Work: Staff
Leave of Absence & DisabilityHealth Care Provider Release Form
Leave of Absence & DisabilityReasonable Accommodation Request
OtherData Request Form
PayrollDirect deposit, tax withholding, reissue of W-2 forms, and more can be found under Payroll forms on the Business, Finance, and Administrative Services (BFAS) Forms page.
Performance PartnershipPerformance Partnership Form
Termination/RetirementFaculty Voluntary Phased Retirement Form
Termination/RetirementEmployee Separation Checklist
WorklifeFlexible Work Arrangement Form