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HR Related Forms and Documents

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CITI IRB Course Instructions PDF document The CITI IRB course is to be completed by all clinical staff within 12-months of hire date unless notified by the IRB Office as a name listed on the IRB Protocol. Training and Development
CPR Presentation - American Heart Association PDF document This presentation should be viewed before attending CPR class. Training and Development
CSEA Benefits - Important Contact Numbers PDF document List of Benefits contacts for CSEA represented staff. Benefits (General)
CSEA Benefits At a Glance PDF document Summary of benefits for CSEA employees. Benefits (General)
Campus Map - Jacobsen Hall and parking PDF document Campus map for new hires Hiring and Recruitment
Candidate Selection Justification - Office of Diversity and Affirmative Action Word document Candidate Selection Justification - Office of Diversity and Affirmative Action Hiring and Recruitment
Caring Bridge Presentation PDF document Caring Bridge Presentation Miscellaneous
Certificate of Health Statementi PDF document Certificate of Health Statement Hiring and Recruitment
Certificate of Health Statement instructions PDF document This document accompanies the Certificate of Health Statement for visitors to Upstate for 30 days or more. Miscellaneous
Certification for Serious Injury U.S. Department of Labor or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave (FMLA)i Certification for Serious Injury U.S. Department of Labor or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave (FMLA) Leave of Absence/Disability Leave (including FMLA Leave)
Certification for Serious Injury or U.S. Department of Labor Illness of a Current Wage and Hour Division Servicemember -for Military Family Leave FMLAi State/Research Foundation Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave - can be used for both FMLA and Non-FMLA leaves. Leave of Absence/Disability Leave (including FMLA Leave)
Certification of Health Care Provider for U.S. Department of Labor Employee’s Serious Health Condition (Family and Medical Leave Act):i State/Research Foundation Employee Certification of Health Care Provider for Employee's Serious Health Condition - can be used for both FMLA and Non-FMLA leaves. Leave of Absence/Disability Leave (including FMLA Leave)
Certification of Health Care Provider for U.S. Department of Labor Family Member’s Serious Health Condition (Family and Medical Leave Act)i State/Research employees can use this form to request a leave due to serious illness of a family member - can be used for both FMLA and Non-FMLA leaves. Leave of Absence/Disability Leave (including FMLA Leave)
Certification of Qualifying Exigency U.S. Department of Labor For Military Family Leave Wage and Hour Division (Family and Medical Leave Act)i State/Research FMLA State Certification of Qualifying Exigency For Military Family Leave - can be used for both FMLA and Non-FMLA leaves. Leave of Absence/Disability Leave (including FMLA Leave)
Check Diversion Request Formi PDF document Used by employees to change or specify options for the distribution of their paycheck. Payroll
Child Care Center Enrollment Application PDF document For enrolling your child into Upstate Child Care Center Benefits (General)
Choices 2013 for CSEA and PEF represented and M/C affiliated employees (settled groups) PDF document Choices 2013 for CSEA and PEF represented and M/C affiliated employees (settled groups) Health Insurance, Dental and Vision
Comparison of Retirement Plan Options - ERS Tier VI and SUNY ORP PDF document Comparison of Retirement Plan Options - ERS Tier VI and SUNY ORP Retirement
Compliance Education for Traveling Nurses PDF document Compliance Education for Traveling Nurses Training and Development
Compliance for Traveling Nurses - Completion Certificate PDF document Compliance for Traveling Nurses - Completion Certificate Training and Development
Confidentiality Agreement PDF document New staff and individuals participating in Job Shadowing or Intership programs at SUNY Upstate must fill out this form Training and Development