Jump to a category:
General
- Accident/Injury report (on the job)
- Change of Address
- CSEA Hardship
- 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
Appointment
- Employment Appointment (Employment, Stipend, Extra Service, Summer, Winterim)
- 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 (Open with Adobe Acrobat as this is a secured PDF)
- I-9 (non-fillable)
- Oath of Office
Annual Evaluations/Performance Programs
View the Performance Program Management Guide (PDF)
Classified Service Staff
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
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 (Reappointments, Leaves, Promotions)
- Personnel Action for Department Chairs
Professional
- Personnel Action for Professional Employees (Reappointments, Leaves, Promotions)
- Hard copy forms will no longer be accepted. All requests must use the online qualtrics form.
Benefits 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
Leaves
- Leave of Absence Form (for Family medical, Military, leave without pay and other)
- FMLA Health Care Provider Certification
- Leave Donation Form
- Drescher Leave Program
- Teaching Faculty - Parental Leave Request Form
- Tenure Stop Clock Form (DOC)
- Sabbatical Leave - use Personnel Action-Academic above
- Title F Leave - use Personnel Action-Professional above
Extra Service
- 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
- Extra Service Voucher