Access-A-Ride/Para Transit Enrollment Form |
Application for Leave for Special Purposes: Instructional Staff (Teaching and Non-Teaching) Only |
Application for Non-FMLA Medical Leave |
Catastrophic Sick Leave- Application to Donate |
Catastrophic Sick Leave- Application to Receive |
Catastrophic Sick Leave- Application to Withdraw and/or Change Donation |
Catastrophic Sick Leave Bank Program Information |
Change of Address Benefits Form |
Child Care Leave of Absence Application (Unpaid) – Classified Staff Only |
Child Care Leave of Absence Application (Unpaid) – Instructional Staff Only |
CUNY Universal Annual Notice TDA Letter |
CVS Caremark Mail Order Form |
Davis Vision Claim Form |
DC37 Change of Status Form |
DC37 Dental Claim |
DC37 Enrollment |
Dedicated Sick Leave- Application to Donate |
Dedicated Sick Leave- Application to Receive |
Dedicated Sick Leave Program |
Dependent Care Assistant Program (DeCAP) form |
Domestic Partner, Same Sex Marriage or Civil Union- Information Packet |
Emergency Family Medical Leave Expansion Act Attestation and Request Form |
Emergency Paid Sick Leave Attestation and Request Form |
Family Medical Leave Act (FMLA) Certification for Serious Injury or Illness of a Current Service Member – Military Family Leave |
Family Medical Leave Act (FMLA) Certification for Serious Injury or Illness of a Veteran – Military Caregiver Leave |
Family Medical Leave Act (FMLA) Certification of Family Relationship |
Family Medical Leave Act (FMLA) Certification of Health Care Provider (HCP) for Employee |
Family Medical Leave Act (FMLA) Certification of Health Care Provider (HCP) for Family Member |
Family Medical Leave Act (FMLA) Certification of Qualifying Exigency for Military Family |
Family Medical Leave Act (FMLA) Designation Notice |
Family Medical Leave Act (FMLA) Fitness for Duty |
Family Medical Leave Act (FMLA) Notice of Eligibility and Rights and Responsibilities |
Family Medical Leave Act (FMLA) Policy |
Family Medical Leave Act (FMLA) Request Form |
Family Medical Leave Act Employee Guide |
FSA Brochure |
Health Benefits Application |
Health Benefits Buy-Out Waiver Application |
Health Benefits Rate Sheet |
Healthcare Flexible Spending Account (HCFSA) form |
Leave for Breast and Prostate Cancer Screening and for Blood Donation |
Military Leave |
New York City Employees’ Retirement System Enrollment |
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 Certification |
Non-FMLA Medical Leave Designation Form |
NY529 Enrollment |
NYS Deferred Comp Enrollment Form |
NYS Deferred Comp Enrollment Kit |
NYSHIP Application to Add Domestic Partner to Coverage |
NYSHIP Change of Address |
NYSHIP Enrollment |
NYSHIP Termination |
NYSHIP Termination of Domestic Partnership |
NYSHIP Transfer |
NYSUT Payroll Deduction Card |
Paid Family Leave (PFL) |
Paid Parental Leave Application - Amended |
Paid Parental Leave Cover Page |
Paid Parental Leave Policy Update |
Park-N-Ride Enrollment Form |
Phased Retirement Application for Faculty |
Phased Retirement Application for Professional Staff |
Phased Retirement Program |
Premium Conversion Form |
Prescription Drug Exemption Request Form |
PSC Welfare Fund Change of Status |
PSC/CUNY Application for Welfare Fund Benefits for Domestic Partner |
PSC/CUNY Death Benefit Designation |
PSC/CUNY Delta Dental Claim |
PSC/CUNY Enrollment |
PSC/CUNY Extended Medical Benefit Claim Form – For Employees with GHI |
PSC/CUNY Guardian Non-Participating Dental Claim |
PSC/CUNY Hearing Aid Reimbursement |
PSC/CUNY Retiree Enrollment |
Retiree Application |
Retiree Change of Address |
Retiree Email Request Form |
Retirement Election Form |
Retirement Leave of Absence Request (TRAVIA) |
Salary Reduction Agreement -TIAA-Cref |
Tax Deferred Annuity Program |
Terminal Leave Form |
TIAA-CREF Medicare Part B Premium Reimbursement |
TIAA-CREF Multiple Positions |
TIAA-CREF Optional Retirement Program – Online Enrollment |
TIAA-CREF Supplemental Retirement Annuity – Online Enrollment |
Transit Benefit Enrollment Form |
Travia Leave Packet |
TRS Benefits For Tier IV Members |
TRS Benefits For Tier VI Members |
Tuition Fee Waiver |
Tuition Waiver Addendum |
Worker’s Compensation Claim Forms |