Forms - Human Resources | Binghamton University

Benefits (Health Insurance, Dental, Vision, Tuition Assistance, etc.)

Employment

Alternate Work Options See attached policy
Email Information for New Faculty/Staff Information on how to access your new email address at Binghamton University.
Employee Information Form Personal and demographic information; required for all new hires and changes in status.
I-9 Employment Eligibility To document that each new employee (both citizen and non-citizen) hired after November 6, 1986 is authorized to work in the United States.
State Employee Statement in Lieu of Oath Certifies that a State employee has read and understands the NYS Public Officer's Law. Required for all new faculty/staff and graduate/teaching assistants and those changing official budget titles.
PA-81 Internal Application for Promotion For classified service, non-competitive, labor class promotion. Employee's status must be permanent or contingent permanent.
Phased Retirement Request For UUP and Management Confidential staff requesting to work less than full-time as near retirement.
Prior Service Credit Request for Faculty Prior service request form for faculty hired in a tenure track position.
Professional Employee Promotion/Reclassification/Salary Increase Request For non-teaching, UUP represented, professional staff. Requests accepted during appropriate window.
Faculty/Staff Handbook Receipt Acknowledgment of receipt of the Faculty and Staff Handbook information.

Hiring and Recruitment

ADA Cover Memo Americans with Disabilities Act Memo.
ADA Position Analysis Americans with Disabilities Act position analysis.
ADA Position Description Americans with Disabilities Act position description.
Office of Diversity, Equity & Inclusion (DEI) Hiring Guides and Resources For search committee use. Submit to Office of Diversity, Equity & Inclusion for approval.
Binghamton University Education History Addendum Attach as needed to the employment application form.
Binghamton University Employment Application Application for employment.
Binghamton University Employment History Addendum Attach as needed to the employment application form.
Professional Vacancy Worksheet To assist Human Resources with the posting of a professional vacancy.
Recruitment Links For a list of various sources to advertise with for a position you are hiring for.
Verification of Candidate Credentials For professional vacancy search committee use.

HR Masters and Coordinators

Immigration Services

Extend H-1B Questionnaire for department Questionnaire for extension of H-1B for department completion.
Extend H-1B Questionnaire for employee Questionnaire for extension of H-1B for employee completion.
Immigration Process for department Flow chart of immigration process for departments.
Initial H-1B Questionnaire for department Questionnaire for initial H-1B for department completion.
Initial H-1B Questionnaire for employee Questionnaire for initial H-1B for employee completion.
2021 Tax Withholding Guide for International Students and Scholars 2021 tax withholding guide for International Students and Scholars.
Visa Options Common visa categories used to hire international employees.

Leaves

Confidential Medical Statement To be completed by a health care provider.
Confidential Medical Statement (Work Related Injury) To be completed by a health care provider for a work-related injury.
Confidential Medical Statement (CSEA only) To be completed by a health care provider for non work-related injuries (CSEA only).
Confidential Medical Statement (Cancer Screening) To be completed by a health care provider.
FMLA - Employee's Serious Health Condition Family and Medical Leave Act request form.
FMLA - Family Member's Serious Health Condition Family and Medical Leave Act request form.
FMLA - FMLA Illness of Covered Service Member for Military Family Leave Family and Medical Leave Act request form.
FMLA - FMLA Qualifying Exigency for Military Family Leave Family and Medical Leave Act request form.
Leave Donation (for all bargaining units) To donate vacation leave to cover an "eligible" employee's sick leave.
Paid Family Leave Application To request Paid Family Leave to bond with a newborn, a newly adopted or fostered child
Tenure Clock Stop Request Form Request form to stop tenure clock.
Title F Leave Request for Faculty See Faculty/Staff handbook section IV.B.2. Leave of Absence (Title F Leave).
Title F Leave Request for Professionals For UUP represented professional staff.

Miscellaneous

Child Protection Processing Guidelines Child Protection Processing Guidelines.
Volunteer Information Collection Form and Agreement Volunteer Information Collection Form and Agreement.
HR Data Report Request Online HR data report request for campus use of Binghamton University HR Coordinators and HR Masters only.
Workplace Violence Policy Workplace violence policy.

Payroll

Direct Deposit (AC-2722) For new, changes or deletions of direct deposit of your payroll into your bank account(s).
Direct Deposit Reactivate To reactive an existing direct deposit which may have lapsed. May NOT be used to start a new direct deposit allocation. Direct Deposit Reactivate
Federal Tax Form W-4 To withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.
Honoraria Payment FAQ's Frequently asked questions regarding honoraria payments.
Honoraria Payment Policy Policy regarding honoraria payments to faculty and professional staff.
New York State Certificate of Nonresidence and Allocation of Withholding Tax (IT-2104.1) New York State, City of New York, and City of Yonkers Certificate of Nonresidence and Allocation of Withholding Tax.
New York State Tax Certificate of Exemption (IT-2104-E) To claim exemption from withholding for New York State personal income tax (and New York City and Yonkers personal income tax, if applicable).
New York State Tax Form (IT-2104) To withhold the correct New York State income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.
SUNY Charitable Giving Campaign Payroll Deduction You can give to the State University of New York campus of your choice through the SUNY Charitable Giving Campaign.
Treasury Direct Deposit Form Treasury Direct Deposit Form ONLY.
NYS Payroll Online Instructions Instructions on how to navigate the NYS Payroll Online system
Unclaimed Check Policy Unclaimed check policy.
W2 Reissue Request Form to request a W-2.

Performance Management

Alternate Work Location Assignment Request Form Request form for an Alternative Work Location Assignment
Classified Service Performance Program/Evaluation Performance program and evaluations for all classified service staff
Professional Employee Evaluation For non-teaching, UUP represented professional staff. Professional Employee Evaluation
Professional Employee Performance Program For non-teaching, UUP represented professional staff. Professional Employee Performance Program
Online Professional Employee Performance Program For non-teaching, UUP represented professional staff
Professional Employee Self-Evaluation For non-teaching, UUP represented professional staff.
Performance Program Addendum For non-teaching, UUP represented professional staff. Used to add something to the performance program that is already in place.
PEF Performance Program and Evaluation Performance Program and Evaluation document for PEF represented employees.

Retiree Services (Forms for Retired Employees)

Binghamton University Service Preference Checklist for Binghamton University retirees
Retire Contact Information Form Contact information form for Binghamton University retirees'
Retiree Survey Survey for Binghamton University retirees'
Retiree Volunteer Form Form for Binghamton University retiree volunteers

Retirement (Forms for Current Employees)

Time and Attendance

Accruals by Bargaining Unit Accrual rates for vacation/annual, sick and personal leave accruals.
Classified Annual Time Sheet (CLS-ANN) For classified service staff with an annual pay basis.
Classified Hourly with Attendance Rules Time Sheet (CLS-HRYA) For classified service staff with an hourly pay basis and attendance rules coverage.
Classified Hourly without Attendance Rules Time Sheet (CLS-HRY) For classified service staff with an hourly pay basis and NO attendance rules coverage.
Faculty Time & Attendance Log-in to SUNY.edu for Time & Attendance for all Faculty.
Federal College Work Study (28023) Time Sheet Log-in to SUNY.edu for Time & Attendance for all federal college work-study employees.
Graduate and Teaching Assistant Time Sheet Time Sheet for graduate and teaching assistants on the 28029 payroll only.
Management Confidential (M/C) Time & Attendance Log-in to SUNY.edu for Time & Attendance for all Management/Confidential staff.
Professional Annual and College Year Staff Time & Attendance Log-in to SUNY.edu for Time & Attendance for UUP represented professional staff with an Annual or College Year obligation.
Professional Non-Exempt Time & Attendance Time Record for Professional Non-Exempt employees.
Professional Hourly Staff Time Sheet (UUP-HRY) For UUP represented professional staff with an hourly pay basis.
Student Assistant (28021) Time Sheet Log-in to SUNY.edu for Time & Attendance for all student assistant employees.

Workers Compensation, Accidents, Accommodations

Accident or Injury Reporting (Part 1 and CS-13) To report an accident or injury on campus property/work-related.
Workers' Compensation Reporting Procedures A document outlining the necessary steps for reporting an accident at work.
Confidential Medical Statement for Work-Related Disability A document to report a work related disability.
Estimated Capabilities Form A document to report estimated capabilities.
Reasonable Accommodation Information on Reasonable Accommodation.
Reasonable Accommodation Form Request for Reasonable Accommodation.