HR Forms
- 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
- Commuter Card - Access-A-Ride Plan (Transit)
- Commuter Card - Park-N-Ride Plan (Parking)
- Commuter Card - Unrestricted (Transit)
- Commuter Card - Transit Pass Plan (Transit)
- CUNY Universal Annual Notice TDA Letter - TIAA
- CVS Caremark Mail Order Form
- Davis Vision Claim Form
- DC37 Benefits Enrollment and Change Form
- 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) - Process Flowchart
- Family Medical Leave Act (FMLA) - Presentation
- 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
- FSA-HCFSA-DeCAP Change Form
- Health Benefits Application
- Health Benefits Buy-Out Waiver Application
- Health Benefits Rate Sheet - Adjuncts
- Health Benefits Rate Sheet - Employees
- Health Benefits Rate Sheet - Retirees
- Health Benefits - Young Adult Package
- 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 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
- 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
- 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 Guardian Non-Participating Dental Claim
- PSC/CUNY Retiree Enrollment
- Reasonable Accommodation Form - Employee
- Reasonable Accommodation Form - Health Care Provider
- 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
- 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
Adjunct Faculty Position Request Form
Adjunct Workload Reporting Form
Appendix A to C- Performance Evaluation Form for Classified Employees
Campus Peace Officer Performance Appraisal
Classified Evaluation Form
Classified External Employment Approval Form
Classified Managerial – Performance Accountability Assessment
Classified Reinstatement Request Form
College Assistant Position Request Form
Electronic Human Resources Action Form
Executive Compensation Plan (ECP) Evaluation Instructions
Executive Compensation Plan (ECP) Evaluation Form
Full-Time Position Request Form
HEO & Classified Staff Committee Action Request Form (You must download and save the form to use the electronic signature feature)
HEO & Classified Staff Committees Memo
HEO Evaluation Form
HEO Evaluation Form – esign (You must download and save the form to use the electronic signature feature)
HEO Labor Management Committee Assignment Differential Application
HEO Labor Management Committee Work Load
HEO Reclassification Form
Inter-CUNY Transfer Request Form- For Classified Staff
Multiple Position Form – Memo
Multiple Position Form for FT Faculty
Multiple Position Form for Non-Teaching Instructional Staff
Remote Work Agreement
Salary Differential Request
Adjunct Workload Reporting Form
CET-Continuing Education Teacher
College Assistant/Hourly/Student Aide
College Lab Tech - Adjunct - Pending
CUNY Employee Holiday and Annual Leave Schedule 2026-2027
Direct Deposit Form
Etime
FT Classified - White Collar (COA, IT, etc.)
FT Classified- Blue Collar (Facilities, Public Safety)
FT Classified- Blue Collar (Skilled Trades Only)
HEO CT/OT Form
IT2104-City and State Certificate of Tax Withholding
Mail Authorization/Check Reissue Request
Non-Teaching (AJC) Timesheet
Payroll Calendar - ECP
Payroll Calendar - Full Time Employees
Submission Schedule- FT
Submission Schedule- PT
Teaching Adjunct Pay Check Schedule - Summer 2025
Teaching Adjunct Pay Check Schedule - Fall 2026, Winter 2027, Spring 2027
Vacation Request Form Classified Titles
W4- Federal Tax form