The links below are offered to facilitate easier access to the forms that employees use most often. Please contact Human Resources, ext. 4302 with any questions regarding these forms. Change of Address/Personal Information
Independent Contractor Forms (W-9)
Health Insurance MVP Enrollment Form Third Party Authorization College Student Waiver On-Line College Student Waiver Form Mail Service Prescription Order Form On-Line Prescription Refill Prescription Reimbursement Form MVP Dental Claim Form (for children on POS plan only) MVP Change of Address Form MVP Medical Reimbursement Form Dental and Vision Insurance Dental/Vision Enrollment Form Dental Claim Form (Certificate No. is on dental card) Vision Claim Form (for out-of-network services only) Authorization for Release of Protected Information Domestic Partner Acknowledgement Flexible Spending Accounts (FSA) Payflex Enrollment Form PayFlex Direct Deposit Authorization Form PayFlex Claim Form and Claim Filing Instructions Life Insurance Designation of Beneficiary Form (For other forms, please contact Human Resources, ext. 4689) Retirement Plans Salary Reduction Agreement (403b Contributions) TIAA-CREF Designation of Beneficiary Form Fidelity Designation of Beneficiary Form Tuition for Dependent Children Application for Tuition Grant for Dependent Children Employee Tuition Benefits (On-campus study) Application for Horizons Program Application for Part-Time Study Hamilton Honor Code Immunization Record Course Change Form Tuition Waiver Request (Employee) Tuition Waiver Request (Spouse/Partner) Employee Tuition Benefits (Off-campus study) Supervisor Approval of Program/Course Tuition Reimbursement Request Employment General Employment Application Summer Employment Application (available January 1-March 30) Background Information Release (Criminal, Credit and/or DMV Record) Payroll Employment Authorization Direct Depost Form, Students Direct Depost Form I-9: Employment Eligibility Verification and Instructions 2010 IT-2104 (all employees must complete this form in order to work in New York State) 2010 W-4: Federal Employee's Withholding Allowance Certificate
New York State Disability Claim Form Parental Leave Request Form Leave Bank Forms M&O Leave Bank Donation Form M&O Leave Bank Withdrawal Form Staff Leave Bank Donation Form Staff Leave Bank Withdrawal Form
Performance Assessment Performance Assessment (Supervisor) Performance Assessment (Self) Worker's Compensation Supervisor's Accident Investigation Report Accident Reporting Procedures Information Release Medical Provider Information
