Forms

In order to enter data into a PDF form you must first save the form to your computer and open it in Adobe Acrobat.

 

New Hire

Payroll

Benefits

 

New Hire

Affirmative Action Effort Report

Employment Application

Offer Letter - New Research Foundation Employee (Interactive)

Open Position Checklist

Position Description Form (External Link) (Must choose binghamton.edu as a login)

 

Payroll

Appointment Form

Bi-Weekly Attendance Report

Certification Time Sheet

Cost Transfer Form

Direct Deposit Form

Hourly Time Sheet

I-9 Form (Employment Eligibility Verification)

I-765 Everify Company Name & Number

Map of Campus 2014

Nonresident Alien Academic Fellowship Tax Status Certificate

Part-Time Work Schedule

Personal Data Form

Petition for Approval of TA/GA Dual Employment

Professional Leave Record 2016 (Right click link to save and open in Acrobat)

Professional Leave Record - SICK ONLY (DOC)

Professional Leave Record - BACK

Request for Alien Information for Employees and Fellows Form

Signature Authorization Form

2016 IT-2104 (State Tax Form)

2016 W-4 (Federal Tax Form)

W-2 Reissue Request Form

 

Benefits

Accident Report/ Workers Compensation

Authorization for Health Care/Health Insurance Advocacy

Conexis Flex Spending Enrollment Form

           Conexis Reimbursement Forms (Need Conexis Access)

Dental Claim Forms:

           Regular Employees

           Graduate Students

Disability Claim Forms:

           Short -Term/ Volunteer NYS Disability Claim

           Long -Term Disability (External Link)

Domestic Partner Application (Click here for more Information)

FMLA – Employee Request for Leave

Gym Reimbursement Forms

           Exercise Rewards Program Claim Form

           Fitness Facility Member Verification Form

           Fitness Reimbursement Form

Insurance Enrollment Form

           Regular Employees

           Graduate Students

International Travel Assistance (External Link) (Need Portal Access)

Life Insurance Short Form

PPO Out of Network Claim Form (Regular Employees)

Retirement Credit Based on Prior Employment

Retirement Plan Salary Reduction Agreement

Retirement Plan Service Verification Memo

Tuition Waiver Program

           Application Form

U.S. Savings Bonds

Voluntary Disability Health Questionnaire

 

Last Updated: 4/8/16