Forms and Documents
(For accessing PDF files, please download Acrobat Reader.)
| Search By: | |
| Alphabetical Listing: | A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All |
| Keyword: | |
| Category: | |
| Show All Forms and Documents | |
All documents. Number of document(s) found: 229
Note: i=interactive
Title
 | Description | Category
|
|---|---|---|
| Work from Home Products - Interior Innovations | Upstate contract pricing on work from home products! | Miscellaneous |
| WFH Interior Innovations | WFH Interior Innovations | Miscellaneous |
| Voya SUNY America Saves Week | Voya SUNY America Saves Week | Retirement |
| Voluntary Retirement Plan Comparison 2022 (State) | Comparison between the SUNY Tax Deferred Annuity 403(b) Plan and the New York State Deferred Compensation 457b Plan (including Roth) | Retirement |
| Vision FAQ-Davis Vision | FAQ New York State Vision Plan | Health Insurance, Dental and Vision |
| VOYA | Voya visits July August 2023 | Retirement |
| UUP Tuition Waiveri | UUP Tuition Waiver | Training and Development |
| UUP Part-Time Employees: Benefits At a Glancei | Summary of benefits for part-time UUP employees: | Benefits (General) |
| UUP Group Life Insurance Beneficiary Card Application | Used by UUP employees to apply for UUP Group Life Insurance | Benefits (General) |
| UUP Benefits At a Glance | Benefits summary for UUP employees | Benefits (General) |
| UUP Benefits - Important Contact Numbers | List of important contacts for UUP represented employees | Benefits (General) |
| UUP Benefit Trust Fund Enrollment Cardi | For UUP employees to enroll in UUP Benefit Trust Fund that provides coverage for dental, vision and tuition scholarship | Health Insurance, Dental and Vision |
| UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information | UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information | Health Insurance, Dental and Vision |
| UNLICENSED Nursing New Hire Blackboard Course Completion Checklisti | UNLICENSED Nursing New Hire Blackboard Course Completion Checklist - Prior to Attending Nursing Service Orientation (NSO) | Training and Development |
| Traveling Nurse Orientation Agenda | Traveling Nurse Orientation Agenda | Training and Development |
| Travel Nurse Orientation IMPORTANT INFORMATION | Orientation IMPORTANT INFORMATION | Training and Development |
| Travel Nurse Frequently Asked Questions | Travel Nurse Frequently Asked Questions | Training and Development |
| Top 10 Benefits Advantages - RF | Top 10 Benefits Advantages - RF | Benefits (General) |
| Tips for Effective E-Mail Communication | Tips for Effective E-Mail Communication | Training and Development |
| TIAA January 2022 Webinar Flyer | January's special live webinar topics are listed below. | Retirement |
| TIAA Benefits of Starting Now | TIAA Benefits of Starting Now | Retirement |
| Swipesense | Swipesense | Training and Development |
| Survivor's Benefit Program | This form is used if part time and declining to enroll in NYS Employees' Retirement System | Retirement |
| State Tax Form/IT-2104-Ei | Used to claim exemption from New York State tax | Payroll |
| State Tax Form/IT-2104i | State tax withholding form | Payroll |
| Social Security Pre-retirement information | Social Security Pre-retirement information | Retirement |
| Separation for State Employees | Process for State employees separating from Upstate | Employee Separation |
| Self-Serve Process Separation-Research Foundation Employees | New process on how to separate on self-serve for Research Foundation employees | Employee Separation |
| Salary Schedule - PEF | Salary Schedule - PEF | Salaries and Wages |
| Safety Companion/Ligature Suicide Training for Traveling Nurses | Safety Companion/Ligature Suicide Training for Traveling Nurses | Training and Development |
| Safety Companion Education for Traveling Nurses - Completion Certificate | Companion Education for Traveling Nurses - Completion Certificate | Training and Development |
| Safe Patient Handling Movement - OR | Safe Patient Handling Movement in the OR | Miscellaneous |
| Sabbatical Leave Requesti | Sabbatical Leave Request--leaves for professional development may be made available to members of the professional staff who meet SUNY eligibility requirements. | Leave of Absence/Disability Leave (including FMLA Leave) |
| SUNY/NYS Approved Investment Providers (SUNY ORP and Retirement Savings Plans) | Retirement Programs Local Contacts | Retirement |
| SUNY Upstate Medical University On-Line Employment System Frequently Asked Questions | FAQ for online applicants | Staffing and Recruitment |
| SUNY Retirement Programs for New Faculty and Staff (Unclassified Service) | SUNY Retirement Programs for New Faculty and Staff (Unclassified Service) | Retirement |
| SUNY Optional Retirement Program: Enhance Benefits | 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 ORP/403b Investment Funds Line-Ups | Provides a current list of the investment options available with all of SUNY's approved investment providers | Retirement |
| SUNY 403b Retirement Savings Program | SUNY 403b Retirement Savings Program | Retirement |
| SAW Post-Test Answer Sheeti | This answer sheet accompanies the SAW self study and post test - annual mandatory education for University Hospital staff. | Training and Development |
| SAW Post-Test | Post-test to supplement the yearly Safety at Work self-study | Training and Development |
| SAW Manual, Rev 11/2019 | All staff are required to complete this annual, mandatory education. | Training and Development |
| Rythms Test - Travel Nurses | Rythms Test - Travel Nurses | Training and Development |
| Risk Release Form | Individuals participating in Job Shadowing or Intership programs at SUNY Upstate must fill out this form | Training and Development |
| Right to Know (RTK) Hazard Communications Training | Right to Know (RTK) Hazard Communications Training | Training and Development |
| Research Foundation for SUNY Retirement Contribution Rate | Research Foundation for SUNY Retirement Contribution Rate | Retirement |
| Research Foundation Vision Plan Comparisoni | Research Foundation Vision Plan Comparison | Health Insurance, Dental and Vision |
| Research Foundation Short Term Disability Form | Used by Research Foundation employees to enroll in First Reliance Standard Voluntary Short Term Disability Income Protection | Benefits (General) |
| Research Foundation Payflex Enrollment Form | Research Foundation Payflex Enrollment Form | Health Insurance, Dental and Vision |
| Research Foundation Optional Retirement Plan - Universal Availability Notice | As an RF employee, you are eligible to participate in the RF's Optional Retirement plan (403b). This supplemental program provides a way for you to save extra money for retirement through payroll deduction; there is no employer contribution. | Retirement |
| Research Foundation Life Insurance Enrollment Form | Used by Research Foundation employees to enroll in Securian Life optional Term Life Insurance | Benefits (General) |
| Research Foundation Benefits: Prescription Drug Benefit | Research Foundation Benefits: Prescription Drug Benefit | Benefits (General) |
| Research Foundation Benefits Welcome Notice | Research Foundation Benefits Welcome Notice | Health Insurance, Dental and Vision |
| Research Foundation Benefits Outline | Research Foundation Benefits Outline | Health Insurance, Dental and Vision |
| Research Foundation Benefits Enrollment Form | Used by Research Foundation employees to enroll in or make changes to benefits | Health Insurance, Dental and Vision |
| Research Foundation Benefits - Important Contact Numbers | Research Foundation Benefits - Important Contact Numbers | Benefits (General) |
| Research Foundation Benefits - At a Glance | Summary of RF benefits | Benefits (General) |
| Research Foundation (RF) Benefits Handbook (Active Employees) | Research Foundation (RF) Benefits Handbook (Active Employees) | Benefits (General) |
| Request to Stop the Clock towards Continuing or Permanent Appointment for the birth, adoption, or foster care placement of a child | In order to effectuate a stoppage in service credit toward tenure for continuing or permanent appointment (without change to title, obligation or leave status), this form must be completed and submitted to the Human Resource office. | Leave of Absence/Disability Leave (including FMLA Leave) |
| Reporting a Work Related Illness/Injury Information Sheet (Community Campus Only), Research Foundation | Research Foundation employees should follow this guidance in the event they experience an on-the-job injury/illness | Worker's Compensation |
| RF Young Adult Health Insurance Option Information and Form | Unmarried children of SUNY Research Foundation (RF) Health Insurance enrollees who are under the age of 30 and not eligible for health insurance through their own employer will be eligible to enroll in the same coverage as their parents beginning January 1, 2010. | Health Insurance, Dental and Vision |
| RF Quick Reference Guide for Regular and Post Doc Employees | RF Quick Reference Guide for Regular and Post Doc Employees | Benefits (General) |
| RF Quick Reference Guide for Graduate Students | Quick Reference Guide for Graduate Students | Benefits (General) |
| RF Empire PPO Exercise Rewards-Gym Reimbursement - Exercise Log | Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually | Health Insurance, Dental and Vision |
| RF Empire PPO Exercise Rewards-Gym Reimbursement | RF Empire PPO Exercise Rewards-Gym Reimbursement | Health Insurance, Dental and Vision |
| RF Empire PPO Exercise Rewards - Gym Reimbursement Form | Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually | Health Insurance, Dental and Vision |
| RF Empire Blue Cross and Blue Shield Deductible PPO | Empire Blue Cross and Blue Shield Deductible PPO for Research Foundation employees | Benefits (General) |
| RF Creditable Coverage for Persons with Medicare | RF Creditable Coverage for Persons with Medicare | Benefits (General) |
| RF 2014 New Health Insurance Marketplace Coverage Options and Your Health Insurance | This is a required notice that provides information to all RF employees about the availability of the health plan marketplace. | Health Insurance, Dental and Vision |
| Protecting Patient Confidentiality and Security | In this booklet, we will explain the HIPAA Privacy Rule, the HIPAA Security Rule, and SUNY Upstate Medical University's privacy and security practices. | Training and Development |
| Productivity Enhancement Program (PEP) Summary - CSEA | 2021 Productivity Enhancement Program (PEP) Summary - CSEA | Health Insurance, Dental and Vision |
| Productivity Enhancement Program (PEP) CSEA Enrollment Form | 2024 Productivity Enhancement Program (PEP) Form - CSEA | Health Insurance, Dental and Vision |
| Population Specific Self Study: Clinical Staff | Clinical employees such as Nurses, Physical Therapists, and other care providers need to complete this self study. | Training and Development |
| Population Specific Clinical Exam | Population Specific Clinical Exam | Training and Development |
| Population Specific Clinical Answer Sheeti | Population Specific Clinical Answer Sheet | Training and Development |
| Pharmacy Benefit Network Information, Research Foundation | Information regarding workers' compensation pharmacy benefits. | Worker's Compensation |
| PayFlex Expense Guide (Research Foundation) | PayFlex Expense Guide (Research Foundation) | Health Insurance, Dental and Vision |
| Parking Instructions for NEO | Parking Instructions for NEO | Staffing and Recruitment |
| PEF Part-Time Employees: Benefits At a Glance | PEF Part-Time Employees: Benefits At a Glance | Benefits (General) |
| PEF Benefits At a Glance | NYS Health Insurance Bi-weekly Rates and Cost Sharing Percentage | Benefits (General) |
| PEF Benefits - Important Contact Numbers | PEF Benefits - Important Contact Numbers | Benefits (General) |
| PBANYS Benefits At A Glance | Summary of benefits for PBANYS employees | Benefits (General) |
| Orientation Walking Directions | Orientation Walking Directions | Training and Development |
| Orientation - Job Titles of Employees Required to Attend Clinical and Non-Clinical Orientation | Orientation - Job Titles of Employees Required to Attend Clinical and Non-Clinical Orientation | Training and Development |
| ORP-Plan Description Booklet | Optional Retirement Program Summary Plan Description | Retirement |
| Nursing Student Mentoring Requesti | If you are a current nursing student enrolled in either a BS or MS nursing program and would like to work with a Nurse Clinical Educator as a mentoring experience, please complete and return this form. | Training and Development |
| Nursing Services Orientation (NSO) Agenda | Nursing Services Orientation (NSO) is for Nursing and Nursing Support staff. | Training and Development |
| Non-Employee Orientation Completion Certificatei | Non-Employee Orientation Booklet - Completion Certificate | Training and Development |
| New York Health Insurance Marketplace Coverage Options and Your Health Insurance | This is a required notice that provides information to all NYS employees about the availability of the health plan marketplace. | Health Insurance, Dental and Vision |
| New Employee Orientation Walking Directions | New Employee Orientation Walking Directions | Staffing and Recruitment |
| New Employee Orientation - Directions to Parking Garage, map of Upstate | Map for new employees on where to park on their first day of orientation. | Staffing and Recruitment |
| Name and Address Change Form | Should be completed and sent to HR Benefits to update health insurance records whenever an employee moves. | Health Insurance, Dental and Vision |
| NYSLRS Application for Military Service Credit (Article 20-RSSL)i | Request for credit for military service as provided for in Article 20 of the NYS Retirement and Social Security Law. | Retirement |
| NYSHIP Empire Plan Reporti | NYSHIP Empire Plan Report | Benefits (General) |
| NYSHIP Choices - 2023 Retirees | NYSHIP Choices - 2023 Choices publication | Benefits (General) |
| NYSHIP 2023 Rates for Retirees | NYSHIP 2023 Rates for Retirees | Health Insurance, Dental and Vision |
| NYSHIP 2023 Rates & Deadlines | NYSHIP 2023 Rates for Active Employees | Health Insurance, Dental and Vision |
| NYSHIP 2021 General Information Booklet | Provides information about eligibility, enrollment and other NYSHIP rules and provisions | Health Insurance, Dental and Vision |
| NYSHIP Summary of Benefits and Coverage (SBC) | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| NYSCOPBA Benefits at a Glance | NYSCOPBA Benefits at a Glance | Benefits (General) |
| NYS Work-Life Services Brochure | NYS Work-Life Services Brochure Spring 2022 | Benefits (General) |
| NYS Retirement Program Election Form | Used by UUP and Management Confidential employees to specify their choice of retirement program | Retirement |
| NYS Retiree Health Insurance FAQs | The information provided will assist NYS employees who are planning on retiring in the near future to better understand their health insurance benefits as a retiree | Retirement |
| NYS Retiree Back to Work | NYS Retiree Back to Work Brochure | Benefits (General) |
| NYS Planning for Retirement -- April 2021 | Important Information for Employees of New York State Health Insurance Coverage and Related Benefits in Retirement. | Health Insurance, Dental and Vision |
| NYS Paid Family Leave-SUNY/The Standard 5 facts to help you understand the basics | NYS Paid Family Leave-SUNY/The Standard 5 facts to help you understand the basics (Applies to UUP and M/C employees) | Leave of Absence/Disability Leave (including FMLA Leave) |
| NYS Paid Family Leave Waiver - SUNY | NYS Paid Family Leave Waiver - SUNY | Leave of Absence/Disability Leave (including FMLA Leave) |
| NYS Paid Family Leave Statement of Rights | NYS Paid Family Leave Statement of Rights (Applies to UUP and M/C employees) | Leave of Absence/Disability Leave (including FMLA Leave) |
| NYS Paid Family Leave Notice To Employees | NYS Paid Family Leave Notice To Employees (Applies to UUP and M/C employees) | Leave of Absence/Disability Leave (including FMLA Leave) |
| NYS Paid Family Leave - UUP | NYS Paid Family Leave - SUNY policy for UUP represented employees | Leave of Absence/Disability Leave (including FMLA Leave) |
| NYS Notice of Compliance, Workers Compensation | Notification about employer compliance with the law and procedures for employees to follow if they become ill or are injured through employment. | Worker's Compensation |
| NYS Network Child Care Centers | A network of child care centers supported by NYS and the public employee unions. | Benefits (General) |
| NYS Health Insurance Proofs | The proofs required for enrollment in the NYS Health Insurance Program (NYSHIP) | Health Insurance, Dental and Vision |
| NYS Employee Waiting Periods | Health, Dental and Vision coverage waiting periods for newly eligible employees | Health Insurance, Dental and Vision |
| NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program | NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program | Health Insurance, Dental and Vision |
| NEO Information Sheet for Hiring Managers | NEO Information Sheet for Hiring Managers | Staffing and Recruitment |
| Medication Exam Answer Sheet | Medication Exam Answer Sheet | Training and Development |
| Medication Administration Exam | Medication Administration Exam | Training and Development |
| Medication Administration Calculations Review (Med Test Review) | Medication Administration Calculations Review (Med Test Review) | Training and Development |
| Medicare and NYSHIP | Medicare and NYSHIP | Health Insurance, Dental and Vision |
| Medical History - Student/Employee Healthi | Used to record medical history of new staff and students at Upstate. | Staffing and Recruitment |
| Meal Exception Form - Temp Staff | Meal Exception Form Temp Staff | Staffing and Recruitment |
| Map to New Employee Orientation (NEO) | Map to New Employee Orientation (NEO) | Staffing and Recruitment |
| Map of Jacobsen Hall, parking, and Medical Staffing Office | Map for new hires. | Staffing and Recruitment |
| Management Confidential - Important Contact Numbers | List of Important Contacts for M/C employees | Benefits (General) |
| M/C Benefits At A Glance | Summary of Benefits for M/C Employees | Benefits (General) |
| M/C (Managment Confidential) Salary Schedule | M/C Salary Schedule | Salaries and Wages |
| Life Changes and Your Benefits-State | The following HR document is a quick overview that explains some of the steps NYS employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. | Health Insurance, Dental and Vision |
| Life Changes and Your Benefits-Research Foundation | The following HR document is a quick overview that explains some of the steps Research Foundation employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. | Health Insurance, Dental and Vision |
| LICENSED Nursing New Hire Blackboard Course Completion Checklisti | LICENSED Nursing New Hire Blackboard Course Completion Checklist - Prior to Attending Nursing Service Orientation (NSO) | Training and Development |
| Kronos/Temp Staff Memo | Kronos/Temp Staff Memo | Staffing and Recruitment |
| Job Fair Flyer | Job Fair Flyer | Miscellaneous |
| Job Fair | Job Fair | Miscellaneous |
| Internal Transfer Request (Online Tutorial) | *For current Upstate staff ONLY. How to submit an internal transfer request online via the hiring system. | Staffing and Recruitment |
| How to Log into the SLMS - Statewide Learning Management System from the SUNY Portal | Instructions for How to Log into the SLMS - Statewide Learning Management System from the SUNY Portal | Training and Development |
| How to Locate Your SUNY ID | Needed to log into the SLMS - Statewide Learning Management System. | Training and Development |
| How to Access User Accounts | How to Access User Accounts | Training and Development |
| Holiday Calendar 2020 | Holiday Calendar | Payroll |
| Holiday Calendar 2016 | Holiday Calendar | Payroll |
| Holiday Calendar 2015 | Upstate Holiday Calendar | Payroll |
| Hiring System Tutorial - Changing Applicant Status | For hiring managers using the online hiring system | Staffing and Recruitment |
| Hiring System Document Types | Intended for hiring managers using the Online Hiring System | Staffing and Recruitment |
| Health Insurance Transaction Form PS404 | Used by State employees to enroll in or change status with a health insurance plan | Health Insurance, Dental and Vision |
| Health Insurance Ineligibility Formi | Employees who are ineligible for New York State health insurance are required to sign this form. | Health Insurance, Dental and Vision |
| Health Insurance FAQ - State Employees | Benefits FAQ - State Employees | Health Insurance, Dental and Vision |
| Health Insurance FAQ - Research Foundation | Benefits FAQ - Research Foundation | Health Insurance, Dental and Vision |
| HIPAA Privacy Rule Education/Certificatei | Form to record completion of HIPAA privacy education | Training and Development |
| Globally Harmonized System (GHS) for Hazard Classification and Labeling (Formally Right-to-Know (RTK)/Hazard Communications) Completion Certificatei | Globally Harmonized System (GHS) for Hazard Classification and Labeling(Formally Right-to-Know (RTK)/Hazard Communications)Education Completion Certificate | Training and Development |
| GOER Course Catalog | GOER Course Catalog | Training and Development |
| Five rules to ensure a comfortable retirement | Five rules to ensure a comfortable retirement | Retirement |
| Fidelity Snowball vs Avalanche English Spanish | Fidelity Snowball vs Avalanche English Spanish | Retirement |
| Fidelity Pay Down Debt | Fidelity Pay Down Debt | Retirement |
| Fidelity America Saves Week Daily Webinar Schedule | Fidelity America Saves Week Daily Webinar Schedule | Retirement |
| Federal Tax Form/W-4i | Federal tax withholding form | Payroll |
| FMLA Medical Leave Fact Sheet #28 | FMLA Medical Leave Fact Sheet #28 | Leave of Absence/Disability Leave (including FMLA Leave) |
| Ergonomic Open Hours | Ergonomic Open Hours | Miscellaneous |
| Employment Eligibility Verification Form (I-9)i | Used to verify an employees eligibility to work in the United States | Staffing and Recruitment |
| Employees' Retirement System (ERS) application formi | Employees??? Retirement System (ERS) Membership Registration Form RS 5420, . | Retirement |
| Employee Information Sheeti | Used to collect personnel data of new employees at Upstate. | Staffing and Recruitment |
| Empire Plan Rx Drug Program (Medicare Primary ONLY) | Empire Plan information about Medicare prescription drug coverage only, Certificate of creditable coverage | Health Insurance, Dental and Vision |
| ERGOTRON sit stand recommendations 2019 | ERGOTRON sit stand recommendations 2019 | Benefits (General) |
| Dental Enrollment/Change form-For DeltaCare USA ONLY-UUP | Enrollment form for dental HMO-type program | Health Insurance, Dental and Vision |
| Dental Claim form-GHI-PEF and M/C employees | Used by PEF-represented and M/C employees to be reimbursed for out-of-network dentists for GHI Dental | Health Insurance, Dental and Vision |
| Dental Claim Form - Delta - UUP | UUP employees can use this form to make a dental claim. | Health Insurance, Dental and Vision |
| Deferred Compensation A Plan For Your Future | Education and Enrollment Kit | Retirement |
| Deferred Comp 457 Age 50 & Over Catch-Up Form | The Age 50 and Over Catch-Up provision allows participants who are age 50 and over and participants who will become 50 during the calendar year to make additional contributions. If you will become age 50 during the calendar year, it is not necessary to wait until your 50th birthday. | Retirement |
| Davis Vision - Laser Vision Correction Form (UUP) | Davis Vision - Laser Vision Correction (UUP) | Health Insurance, Dental and Vision |
| Davis Vision (PEF) | Davis Vision (PEF) | Health Insurance, Dental and Vision |
| Davis Vision (Management Confidential - M/C) | Davis Vision (Management Confidential - M/C) | Health Insurance, Dental and Vision |
| Clinical Hands On Provider (CHOP) Orientation Agenda | Clinical Hands On Provider (CHOP) Orientation Agenda | Training and Development |
| 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) |
| Certification of Health Care Provider for U.S. Department of Labor Family Members Serious Health Condition | Certification of Health Care Provider for U.S. Department of Labor Family Members Serious Health Condition | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification of Health Care Provider for U.S. Department of Labor Employees Serious Health Condition (Family and Medical Leave Act)i | Certification of Health Care Provider for U.S. Department of Labor Employees Serious Health Condition (Family and Medical Leave Act) | 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 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) |
| Certificate of Health Statementi | Certificate of Health Statement | Staffing and Recruitment |
| Candidate Selection Justification - Office of Diversity and Affirmative Action | Candidate Selection Justification - Office of Diversity and Affirmative Action | Staffing and Recruitment |
| Can you work comfortably with a laptop? | Can you work comfortably with a laptop? | Employee Separation |
| Campus Map - Jacobsen Hall and parking | Campus map for new hires | Staffing and Recruitment |
| CVS Caremark Mail Order Form (Empire Plan) | CVS Caremark Mail Order Form (Empire Plan) | Health Insurance, Dental and Vision |
| CSEA Employee Benefit Fund Summary | This document contains important information concerning CSEA EBF Dental, Vision and Rx Co-pay plans. | Health Insurance, Dental and Vision |
| CSEA Benefits At a Glance | Summary of benefits for CSEA employees. | Benefits (General) |
| CSEA Benefits - Important Contact Numbers | List of Benefits contacts for CSEA represented staff. | Benefits (General) |
| CITI IRB Course Instructions | 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 |
| CGH Pension Fund Pre-Retirement Planning Presentation | CGH Pension Fund Pre-Retirement Planning Presentation | Retirement |
| CGH Pension Fund FAQ | CGH Pension Fund FAQ | Retirement |
| Blood Borne Pathogen/Infection Control education | Used for staff orientation | Training and Development |
| Blood Borne Pathogen/Infection Control Completion Certificate | Blood Borne Pathogen/Infection Control Completion Certificate | Training and Development |
| Blackboard My Training Instructions for New Staff | Blackboard My Training Instructions for New Staff | Staffing and Recruitment |
| Benefits Summary Booklet - UUP | Benefits Summary Booklet - UUP | Benefits (General) |
| Benefits Summary Booklet - PEF | Benefits Summary Booklet - PEF | Benefits (General) |
| Benefits Summary Booklet - M/C | Benefits Summary Booklet - M/C | Benefits (General) |
| Benefits Summary Booklet - CSEA | Benefits Summary Booklet - CSEA | Benefits (General) |
| Benefits Overview UUP Part Time Employees | Employee Benefits For UUP Part Time Employees | Benefits (General) |
| Benefits Overview UUP Full Time Employees | Employee Benefits For UUP Full Time Employees | Benefits (General) |
| Benefits Overview PEF Employees | Employee Benefits For PEF Employees | Benefits (General) |
| Benefits Overview MC Employees | Employee Benefits For MC Employees | Benefits (General) |
| Benefits Overview CSEA Employees | Employee Benefits for CSEA Employees | Benefits (General) |
| Benefits Handbook (RF-Retiree) | Benefits Handbook (RF-Retiree) | Benefits (General) |
| Benefit Fund Enrollment Form, CSEA Employeesi | CSEA employees use this form to enroll in benefits | Benefits (General) |
| B-140W Application for Tuition and Fee Assistancei | B-140W Application for Tuition and Fee Assistance | Training and Development |
| Applicant Information - SUNY Upstate Medical University | General information on applying for a job at SUNY Upstate. | Staffing and Recruitment |
| Allergy Screening Formi | Used to record allergy history of new staff and students at Upstate. | Staffing and Recruitment |
| Activity Cart Presentation - Traveler Webpage | Activity Cart Presentation | Training and Development |
| 2024 Productivity Enhancement Program (PEP) Enrollment Form - UUP | 2024 Productivity Enhancement Program Enrollment(PEP) Form - UUP | Health Insurance, Dental and Vision |
| 2024 Planning for Option Transfer | 2024 Planning For Option Transfer for NYS Employees | Health Insurance, Dental and Vision |
| 2024 PEF Productivity Enhancement Program Enrollment (PEP) Form | 2024 PEF Productivity Enhancement Program Enrollment (PEP) Form | Health Insurance, Dental and Vision |
| 2023 Upstate (NYS) active and LWOP health insurance rates | 2023 NYS Health insurance active and leave without pay biweekly rates | Health Insurance, Dental and Vision |
| 2023 UUP Empire Plan At-A-Glance | 2023 UUP Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2023 Research Foundation Benefits Bulletin--Open Enrollment Information | Research Foundation October 2023 Edition of the Benefits Bulletin including Open Enrollment Information | Health Insurance, Dental and Vision |
| 2023 PEF Empire Plan At-A-Glance | 2023 PEF Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2023 PBANYS Empire Plan At-A-Glance | 2023 PBANYS Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2023 New Employee Orientation Master Schedule | 2023 New Employee Orientation Master Schedule | Training and Development |
| 2023 NYSHIP Health Insurance Choices Booklet | This booklet explains the options available to you under the New York State Health Insurance Program (NYSHIP) for your health insurance and other elections. You may choose coverage under either The Empire Plan or one of the NYSHIP-approved Health Maintenance Organizations (HMOs) in your area. | Health Insurance, Dental and Vision |
| 2023 NYSCOPBA Empire Plan At-A-Glance | 2023 NYSCOPBA Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2023 NYS Health Insurance Rates | NYS Health Insurance Rates - NYS Health Insurance Rates | Health Insurance, Dental and Vision |
| 2023 NYS COBRA Health Insurance Rates | 2023 NYS COBRA Health Insurance Rates | Health Insurance, Dental and Vision |
| 2023 M/C Empire Plan At-A-Glance | 2023 M/C Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2023 CSEA Empire Plan At-A-Glance | 2023 CSEA Empire Plan At-A-Glance | Health Insurance, Dental and Vision |
| 2022 Research Foundation Bi-Weekly Health Insurance Rates | Lists the bi-weekly employee cost for the various health insurance plans while in a paid or leave without paid status | Health Insurance, Dental and Vision |
| 2022 RF Summary of Benefits Coverage Empire BlueCross and Blue Shield Traditional PPO - Research Foundation of SUNY | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2022 RF Summary of Benefits Coverage - MVP | Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2022 RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO | RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO | Health Insurance, Dental and Vision |
| 2022 RF COBRA Insurance Rates | 2022 RF COBRA Insurance Rates | Health Insurance, Dental and Vision |
| 2022 Medicare Part D Costs for Those with Higher Income | You pay your Part D IRMAA directly to Medicare, not to your plan or employer. You're required to pay the Part D IRMAA, even if your employer or a third party (like a teacher's union or a retirement system) pays for your Part D plan premiums. | Health Insurance, Dental and Vision |
| 2022 Medicare Part B Monthly Premiums | 2022 Medicare Part B Monthly Premiums | Health Insurance, Dental and Vision |
| 2021 On the Road with the Empire Plan | 2021 On the Road with the Empire Plan | Health Insurance, Dental and Vision |
| 2021 NYSHIP Retiree General Information Book | 2021 NYSHIP General Information Book for NY Retirees (Empire Plan and NYSHIP HMO) | Health Insurance, Dental and Vision |
| 2019 Opt-out Attestation Form (PS-409) | 2019 Opt-out Attestation Form (PS-409) | Health Insurance, Dental and Vision |