Forms

To locate the form you need, use the search box on this page. You can also use the arrows in the top row of the table to sort alphabetically by Form Name or by Category.

If you need assistance locating a form, contact the HR Service Center at 315.443.4042.

CategoryForm Name
Benefits: Claim FormsPOMCO Medical Claim Form
Benefits: Claim FormsOptumRx Prescription Drug Claim Form
Benefits: Claim FormsOptumRx Prescription Drug Home Delivery Order 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 FormsVSP Vision Reimbursement Form
Benefits: Claim FormsAdoption Assistance Reimbursement Form
Benefits: Claim FormsHIPAA Authorization Form for Use and Disclosure of Protected Health Information
Benefits: Claim FormsSEBF Dental Claim Form
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 FormsChild Care Subsidy Application
Benefits: Applications/Enrollment FormsMetLife Request for Auto/Home Insurance Quote
Benefits: Applications/Enrollment FormsSchedule B Reduced Medical Contribution Application
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: TIAA Retirement AccountTIAA Enrollment Form for Voluntary 403(b) Account (use to establish an account at TIAA to hold your contributions to your retirement)
Benefits: TIAA Retirement AccountTIAA Enrollment Form for Noncontributory Retirement Plan (use to establish an account at TIAA to hold the University's contributions to your retirement)
Benefits: TIAA Retirement AccountTIAA Enrollment Form for 457(b) Deferred Compensation Plan (for eligible individuals to establish a deferred compensation account at TIAA)
Benefits: Tuition ProgramsRemitted Tuition Credit Allocation
Benefits: Tuition ProgramsDependent Tuition Benefit Application
Benefits: Tuition ProgramsTuition Exchange Request Form
Benefits: RetireesRetiree Medical Election Form
Benefits: RetireesRetiree - Opt-In Medical Form
Benefits: RetireesRetiree - Opt-Out Medical Form
Benefits: RetireesVSIP Subsidy Change Form
Employee InformationPersonal Information Form (PIF)
Employee InformationName Change Form
CompensationPay Notification: Exempt
CompensationPay Notification: Faculty
CompensationPay Notification: Non-Exempt
CompensationPay Notification: Non-Exempt SEIU Bargaining Unit
CompensationPay Notification: User Instruction Memo
CompensationPosition Approval Memo (PAM) for Faculty
CompensationPosition Approval Memo (PAM) Form Instructions
CompensationPosition Evaluation Request (PER)
CompensationPosition Evaluation Request (PER) Form Instructions
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
Student EmploymentFederal Work Study Reimbursement Request Form
Student EmploymentOff-Campus Employee Timesheet
Student EmploymentStudent Employee Performance Review
Leave of Absence & DisabilityLeave Request Form
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
Termination/RetirementFaculty Voluntary Phased Retirement Form
Termination/RetirementEmployee Separation Checklist
Organizational DevelopmentFlexible Work Arrangement Proposal: Request from your Senior HR Business Partner
Organizational DevelopmentPerformance Partnership: Self Assessment Form
Organizational DevelopmentPerformance Partnership: Supervisor Form
OtherData Request Form
PayrollDirect deposit, tax withholding, reissue of W-2 forms, and more can be found under Payroll on the Business, Finance, and Administrative Services (BFAS) Forms page.