HR Forms

Application for Leave for Special Purposes: Instructional Staff (Teaching and Non-Teaching) Onlypdf
Application for Non-FMLA Medical Leave pdf
Catastrophic Sick Leave- Application to Donatepdf
Catastrophic Sick Leave- Application to Receive pdf
Catastrophic Sick Leave- Application to Withdraw and/or Change Donationpdf
Catastrophic Sick Leave Bank Program Informationpdf
Change of Address Benefits Formpdf
Child Care Leave of Absence Application (Unpaid) – Classified Staff Onlypdf
Child Care Leave of Absence Application (Unpaid) – Instructional Staff Onlypdf
Commuter Card - Access-A-Ride Plan (Transit)pdf
Commuter Card - Park-N-Ride Plan (Parking)pdf
Commuter Card - Prepaid Mastercard Plan (Transit)pdf
Commuter Card - Transit Pass Plan (Transit)pdf
CUNY Universal Annual Notice TDA Letter - TIAApdf
CVS Caremark Mail Order Formpdf
Davis Vision Claim Formpdf
DC37 Change of Status Formpdf
DC37 Dental Claimpdf
DC37 Enrollment pdf
Dedicated Sick Leave- Application to Donatepdf
Dedicated Sick Leave- Application to Receivepdf
Dedicated Sick Leave Programpdf
Dependent Care Assistant Program (DeCAP) formpdf
Domestic Partner, Same Sex Marriage or Civil Union- Information Packetpdf
Emergency Family Medical Leave Expansion Act Attestation and Request Formpdf
Emergency Paid Sick Leave Attestation and Request Formpdf
Family Medical Leave Act (FMLA) - Process Flowchartpdf
Family Medical Leave Act (FMLA) - Presentationpdf
Family Medical Leave Act (FMLA) Certification for Serious Injury or Illness of a Current Service Member – Military Family Leavepdf
Family Medical Leave Act (FMLA) Certification for Serious Injury or Illness of a Veteran – Military Caregiver Leavepdf
Family Medical Leave Act (FMLA) Certification of Family Relationship pdf
Family Medical Leave Act (FMLA) Certification of Health Care Provider (HCP) for Employeepdf
Family Medical Leave Act (FMLA) Certification of Health Care Provider (HCP) for Family Memberpdf
Family Medical Leave Act (FMLA) Certification of Qualifying Exigency for Military Familypdf
Family Medical Leave Act (FMLA) Designation Noticepdf
Family Medical Leave Act (FMLA) Fitness for Dutypdf
Family Medical Leave Act (FMLA) Notice of Eligibility and Rights and Responsibilitiespdf
Family Medical Leave Act (FMLA) Policy pdf
Family Medical Leave Act (FMLA) Request Form pdf
Family Medical Leave Act Employee Guidepdf
FSA Brochurepdf
Health Benefits Applicationpdf
Health Benefits Buy-Out Waiver Applicationpdf
Health Benefits Rate Sheetpdf
Healthcare Flexible Spending Account (HCFSA) formpdf
Leave for Breast and Prostate Cancer Screening and for Blood Donationpdf
Military Leavepdf
New York City Employees’ Retirement System Enrollment pdf
New York City Health Benefits Program
New York City Teachers’ Retirement System Designation of QPP Beneficiary
New York City Teachers’ Retirement System Enrollment
New York State Deferred Compensation 457 Plan
New York’s College Savings Program 529
Non-FMLA Fitness for Duty Certificationpdf
Non-FMLA Medical Leave Designation Formpdf
NY529 Enrollmentpdf
NYS Deferred Comp Enrollment Formpdf
NYS Deferred Comp Enrollment Kitpdf
NYSHIP Application to Add Domestic Partner to Coveragepdf
NYSHIP Change of Addresspdf
NYSHIP Enrollmentpdf
NYSHIP Terminationpdf
NYSHIP Termination of Domestic Partnershippdf
NYSHIP Transferpdf
NYSUT Payroll Deduction Cardpdf
Paid Family Leave (PFL)
Paid Parental Leave Application - Amendedpdf
Paid Parental Leave Cover Pagepdf
Paid Parental Leave Policy Updatepdf
Phased Retirement Application for Facultypdf
Phased Retirement Application for Professional Staffpdf
Phased Retirement Programpdf
Premium Conversion Formpdf
Prescription Drug Exemption Request Formpdf
PSC Welfare Fund Change of Statuspdf
PSC/CUNY Application for Welfare Fund Benefits for Domestic Partnerpdf
PSC/CUNY Death Benefit Designationpdf
PSC/CUNY Delta Dental Claimpdf
PSC/CUNY Enrollmentpdf
PSC/CUNY Extended Medical Benefit Claim Form – For Employees with GHIpdf
PSC/CUNY Guardian Non-Participating Dental Claimpdf
PSC/CUNY Hearing Aid Reimbursementpdf
PSC/CUNY Retiree Enrollmentpdf
Reasonable Accommodation Form - Employeepdf
Reasonable Accommodation Form - Health Care Providerpdf
Retiree Applicationpdf
Retiree Change of Addresspdf
Retiree Email Request Formpdf
Retirement Election Formpdf
Retirement Leave of Absence Request (TRAVIA)pdf
Salary Reduction Agreement -TIAA-Crefpdf
Tax Deferred Annuity Programpdf
Terminal Leave Formpdf
TIAA-CREF Medicare Part B Premium Reimbursement pdf
TIAA-CREF Multiple Positionspdf
TIAA-CREF Optional Retirement Program – Online Enrollment
TIAA-CREF Supplemental Retirement Annuity – Online Enrollment
Travia Leave Packetpdf
TRS Benefits For Tier IV Memberspdf
TRS Benefits For Tier VI Memberspdf
Tuition Fee Waiverpdf
Tuition Waiver Addendumpdf
Worker’s Compensation Claim Formspdf