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HR Related Forms and Documents

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SUNY "Perks" Employee Discount Program Flyer PDF document text Informational flyer on this state employee discount program Benefits (General)
SUNY Optional Retirement Progam Form (UUP or M/C)i PDF document text Used by UUP and Management Confidential employees to specify their choice of state retirement program Retirement
SUNY Optional Retirement Program: Enhance Benefits PDF document text Illustrates changes in employee and employer contribution rates to the SUNY Optional Retirement Program (ORP), specifically as related to tier 3,4, and 4A members Retirement
SUNY Upstate Medical University On-Line Employment System Frequently Asked Questions PDF document text FAQ for online applicants Hiring and Recruitment
Security Information Form i PDF document text Used to collect security data for new employees at Upstate. Hiring and Recruitment
Short Term Health Statement PDF document text Individuals participating in Job Shadowing or Intership programs at SUNY Upstate must fill out this form (will be at Upstate for less than 3 days) Training and Development
Smoke Free Upstate and Surrounding Area PDF document text Q & A about this ordinance, effective November 1, 2009. Miscellaneous
State Benefits Frequently Asked Questions PDF document text Information on Benefits for new Upstate staff. Benefits (General)
State Direct Deposit Formi PDF document text Used to request that bi-weekly paychecks be deposited into the account or accounts of choice Payroll
State Employee Leave of Absence Request Form (for Personal Leave and "Title F" Leave only) PDF document text State employees can use this form to request a leave of absence - can be used for both FMLA and Non-FMLA leaves. Leave of Absence/Disability Leave (including FMLA Leave)
State Employees - Benefits Option Transfer Planning for 2010 PDF document text Advisement booklet on changing health insurance options. Health Insurance, Dental and Vision
State Injury Report Formi PDF document text State employees should use this form to report an injury sustained on the job. Worker's Compensation
State Long Term Disability Form PDF document text Used by UUP and Management Confidential employees to establish elegibility for SUNY’s Group Long Term Disability Insurance Program Benefits (General)
State Tax Form/IT-2104i PDF document text State tax withholding form Payroll
State Tax Form/IT-2104-Ei PDF document text Used to claim exemption from New York State tax Payroll
State/Research Foundation Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave PDF document text 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)
State/Research Foundation Certification of Qualifying Exigency For Military Family Leave PDF document text 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)
State/Research Foundation Employee Certification of Health Care Provider for Employee's Serious Health Condition PDF document text 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)
State/Research Foundation Employee Certification of Health Care Provider for Family Member's Serious Health Condition PDF document text 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)
Survivor’s Benefit Programi PDF document text This form is used if part time and declining to enroll in NYS Employees’ Retirement System Retirement