Forms for PEF-represented Employees

All forms are in Adobe Acrobat format.

Benefits Forms

Health Insurance (Only for New York State Employees)

• Proof of Eligibility for Health Insurance (memo

Payroll Forms/Documents

Tax Forms

• Federal Tax Form / W-4
• State Tax Form / IT-2104
• State Exempt Tax Form / IT-2104E (if filing exempt)

Payroll Forms/Documents

• Direct Deposit Form
• Annual / Hourly Pay Period Schedule
• Paycheck Tool - PEF
• Understanding Your State Paycheck

Other Forms/Documents

• Oath of Office
• Oath of Office - Native American
• Veteran Status Form
• Check Diversion Form
• Upstate Annual Calendar