Delhi Logo
Human Resources Forms

Accident, Injury, Accommodation Forms

Employees (including student state workers injured on the job)

Students & Members of the Public

Voluntary Self-Identification of Disability

 

Appointment/Search Process Forms

New Adjunct Information Form Please create an Initial Appointment Form in Interview Exchange

Interview Exchange Information Request

Business Card Request


Beneficiary Forms 

CSEA Accidental Death (log in with your CSEA ID)

UUP Life

MC Life

TIAA

Employee Retirement System

Police and Fire Retirement System

Teachers Retirement System

NYS Deferred Compensation

 

Child Protection

SUNY Child Protection Policy

SUNY's Mandatory Reporting Policy

SUNY Delhi Procedure

SUNY's Decision Tree

Key Contact Information

Child Protection Policy Acknowledgment Form

Approval form for events involving children under age 17

Child Protection Policies training now available in Vancko Hall!
Moodle Powered LogoClick here to launch the training
             1. sign into Vancko Hall
             2. in the upper right corner, type into the search bar Child Protection, search  
             3. click on the course SUNY Delhi Child Protection Policies Training
             4. click Enroll Me
             5. begin the course by clicking Start Here 
 
Have a large group that needs training?
Contact Glenda Roberts at 607-746-4548 or via email at robertgv@delhi.edu

 

Evaluation, Performance Program and Annual Report Forms

Classified Service Supervisor's Probationary Report

CSEA Evaluation for 2016-2017 

CSEA Performance Program for 2017-2018

Faculty Annual Report and Performance Program 

Professional Employees' Evaluation Report

Professional Employees' Performance Program

Security Employees' Performance Program and Evaluation

 

Dental & Vision Claim, Student Verification Forms

MC

GHI Dental Claim

Davis Vision Claim

Student Verification

UUP

Delta Dental Claim

Davis Vision Claim

Student Verification

CSEA

Dental Claim

Vision Claim

Student Verification

 

Health Insurance & Related Program Forms

Empire Plan Claim

All Flex Spending Reimbursement forms

Health Insurance Enrollment

Domestic Partner Application for benefits

 

Address Change & Emergency Contact Information

Update your address and other personal information with HR

Add or remove emergency contacts

ERS - Employee Retirement System Address Change

TRS - Teachers' Retirement Address Change

TIAA-CREF address change (you will be prompted to log in)

PFRS - Police & Fire Retirement System Address Change

UUP Address Change

CSEA Address Change

PBA Address Change (you will be prompted to log in)

 

Leave Forms

Request For Leave Form 

Leave Donation Form 

Unclassified Staff Leave Report

Family Medical Leave Act Forms

Employee Info: FMLA Rights and Responsibilities Notice

Employee: FMLA Notice of Eligibility 

Human Resources: FMLA Approval/Disapproval

Employee/Dr: Employee’s Serious Illness 

Employee/Dr: Family Member’s Serious Illness 

Employee: Military Family Leave 

Employee: Military Family Member’s Injury 

 

Retirement Forms

New York State Employees' Retirement System (ERS)

New York State Teachers' Retirement System (TRS)

TIAA-CREF

Salary Reduction Agreement

 

Student Employment Forms

College Work Study Request

Student Assistant Request

Student Employment Application

Work Study Evaluation Sheet 

Student Assistant Evaluation Sheet 

Request for Student Employment - Summer



Tax Withholding and Other Payroll Forms

Federal Tax Withholding Form W-4

New York State Tax Withholding Form IT-2104

New York State Tax Exempt Form IT-2104e

Direct Deposit

Holiday Waiver

US Employment Eligibility Verification I-9 Form with Instructions

I-9 list of Acceptable Documents for Employment

I-9 Instructions

 

Tuition Assistance

Tuition Assistance Application

UUP Waiver Registration

Employee Mandatory Fee Waiver Request

 

UUP Individual Development Awards

Supplemental Information Form

Exit Process Forms

Responsibilities During Exit Process

 

Discrimination/Complaints

Charge of Discrimination Form

Discrimination Complaint Procedure

 

NON-DISCRIMINATION STATEMENT

 

Additional Info

About the Area
Campus Safety Report
Dual Career Assistance
Driver Approval Process
Ethics in State Government
GOER Online Courses
Mail Handling Protocols
Notary Public Officers
Resources and Organizations
Staff Development
SUNY's Human Resources Site
SUNY Policies of Board of Trustees
Supervisors Guide to Counseling
Violence & Harassment Prevention

PDF Icon Faculty & Staff Handbook

Contact Info
P: 607-746-4495 
F: 607-746-4158
E: humanresources@delhi.edu

 

 2015

Last Updated: 2/17/17