Forms

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General

The PDFs below are available in Sharepoint for employees with a Campus Computer Account (CCA).

• Accident/Injury report (PDF) (on the job)
• Change of Address (PDF)
• CSEA Hardship (PDF)
• Employee Request for an Accommodation (PDF)
• Request for Medical Information Form (PDF)
• Telecommuting Application & Work Plan (PDF)
• Voluntary Reduction in Work Schedule (VRWS)
• Workplace Violence Incident Report (PDF)

Appointment

• Employment Appointment (Employment, Stipend, Extra Service, Summer Session, Winter Session) (Available in Sharepoint for employees with a Campus Computer Account)
• Position Justification
• Salary Increase Justification
• Stipend Justification
• W-4 Federal Withholding
• IT 2104 NYS Withholding
• IT 2104-E Certificate for Exemption of Withholding
• I-9
• Oath of Office

Annual Performance Programs/Evaluations

The PDFs below are available in Sharepoint for employees with a Campus Computer Account (CCA).

View the Performance Program Management Guide (PDF)

Classified Service Staff

• Classified Probation Report (PDF)

Public Employees Federation (PEF)

• Employee Worksheet for Performance Program (PDF)
• Employee Worksheet for Performance Appraisal & Rating (PDF)

Professional Employees

• Professional Performance Program - UUP and M/C Performance Program are managed through the Performance Management Module  (Use this link to log in using your CCA.  You will click on the three blue dots in the upper left-hand corner and select SUNY Potsdam Employee Portal)

Personnel Actions

The documents below are available in Sharepoint for employees with a Campus Computer Account (CCA), unless otherwise noted.

• Reappointment and Promotion Schedule

Academic

• Academic Faculty Information Form   - (PDF) (DOC)
• New Academic Faculty Information Form - (PDF) (DOC) *For faculty whose initial appointment date is after 7/1/2019
• Adjunct Instructor or Lecturer Faculty Information Form – (PDF) (DOC)
• Personnel Action for Academic Employees (PDF) (Reappointments, Leaves, Promotions)
• Personnel Action for Department Chairs (PDF)

Professional

• Personnel Action for Professional Employees (Reappointments and Promotions) (Microsoft form - available to those with a Campus Computer Account)
  • Hard copy forms will no longer be accepted.

Benefits Forms

• SUNY Related Insurance Information and Forms

Retirement

• ERS-Employees Retirement System forms page
• TRS-Teacher's Retirement System forms page
• SUNY Voluntary Savings Program to enroll or change your supplemental tax deferral
• Phased Retirement Programs (for UUP Faculty & Librarians, UUP & MC Professionals and CSEA, PEF & PBA)
• Retiree CCA/Email Retention Request Form (Available in Sharepoint for employees with a Campus Computer Account)

Leaves

The following secure online form will be used for various leaves dependent on your bargaining unit type.

View Online Form

Additional Leave Forms

The PDFs below are available in Sharepoint for employees with a Campus Computer Account (CCA).

• Teaching Faculty - Parental Leave Request Form
• Tenure Stop Clock Form (DOC)

Payroll

The PDFs below are available in Sharepoint for employees with a Campus Computer Account (CCA) unless otherwise noted.

• CSEA Overtime Form (PDF)
• Direct Deposit Form (available to campus community members with a CCA)
• Holiday Pay Form
• Leave Donation Form

• Extra Service - for work at home campus (Potsdam)
• Extra Service M/C employee - UP 6
• Extra Service UUP employee - UP 8 (for work at other than home campus)
• Extra Service/Dual Employment form - for Non-SUNY Potsdam Employees (available for general viewing)
• Extra Service Voucher