Forms
Select a Category
Insurance
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Excellus BlueCross BlueShield Medical Claim Form
Link to online form
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BlueCross BlueShield Global Core Claim Form
Link to online form
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Excellus BlueCross BlueShield Authorization to Disclose Protected Health Information
Link to obtain form online
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For home delivery of ongoing medications for 90-day refills
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Life Insurance Beneficiary Form
Life Insurance Beneficiary Form
Dental and Vision Insurance
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For out-of-network services only
Flexible Spending Accounts (FSA)
Retirement Plans
Tuition Benefits
Employment
Payroll
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IT-2104: NYS Employee's Withholding Allowance Certificate
All employees must complete this form in order to work in New York State
Leave Bank
Performance Assessment
Worker's Compensation
Leave of Absence/Accommodations
Address/Personal Information Update
Complete the form to update your record for the HR and the directory.
Please note: Human Resources will update your address with benefits providers except TIAA. Please contact TIAA directly to update your address. You may update online under “My Profile” or by phone 800-842-2252.
Contact
Human Resources