Forms Catalog

By Category A - Z Exclusively State Exclusively RF Exclusively UBF

Forms Exclusively For State-Funded Uses

9/7/17 Accident or Injury Report
10/19/23 Additional Inquiry Access in ShopBlue
9/11/19 Approval Authority Delegation Request
1/3/22 Automobile Travel Mileage Statement for State
6/1/15 Cash Deposits into Multiple Accounts
5/22/20 Cash Handling Procedures
9/23/15 Cash Receipt Books Order Form
4/4/22 Check Receipt Authorization for State
8/7/15 COBRA Coverage Request for State Employee's Dependents
3/3/16 College Work-Study Student Transfer or Change Request
8/11/15 Contract Course Approval
7/12/21 Create, Change or Close State Account Request Form
10/9/18 Credit Card Merchant Request Form
5/22/20 Credit Card Procedures
10/4/23 Direct Deposit Enrollment Request For State Employees
8/3/15 Dual Appointment and Extra Service Approval
7/13/17 Election for State Retirees To Be Employed Pursuant to Section 212
4/7/16 Eligibility of Retired Employee for Survivor's Benefits (RS 6355)
2/16/16 Employee Application for Change in Title or Salary (CC-2E)
6/6/22 Employee Statement in Lieu of Oath for State
4/29/19 Employee's Retirement System (ERS) Membership Registration (RS 5420)
3/8/19 Employment Eligibility Verification (I-9)
2/2/23 ePay Application Request
8/8/15 Extra Service Approval Request for Management Confidential (M/C) Employees
8/7/15 Extra Service Compensation Approval for State Employees
8/7/15 Extra Service Compensation Approval for Supported Students (GA and TA)
8/7/15 Extra Service Compensation Approval for UUP Employees (UP-8)
8/27/15 Extra Service Payroll Voucher for State Employees
11/16/16 Faculty and Staff Hiring Form
3/8/19 Federal Tax Form (W-4)
8/7/15 FMLA Fitness-for-Duty Certification
8/7/15 FMLA Request for Leave
1/24/23 GL Code Request
8/17/15 Graduate Student Employee (GSEU) Health Insurance Enrollment and Change (PS-404G)
10/7/16 Honoraria Request for State
5/28/15 Inter-Agency Journal Request Form
3/8/19 IT-2104E New York State Exemption From Withholding
8/7/15 Leave Request for State Classified Employees
8/3/15 Long Term Disability Waiver of Waiting Period
5/26/20 New York State and Local Retirement (NYSLRS) Request for Pension Estimate (RS 6030)
5/26/20 New York State and Local Retirement System (NYSLRS) Application for Service Retirement (RS 6037)
5/26/20 New York State and Local Retirement System (NYSLRS) Application to Reinstate a Former Member (RS 5506)
5/26/20 New York State and Local Retirement System (NYSLRS) Designation of Beneficiary (RS 5127-T)
5/26/20 New York State and Local Retirement System (NYSLRS) Membership Withdrawal Application (RS 5014)
5/26/20 New York State and Local Retirement System (NYSLRS) Request to Purchase Service Credit (including Military Service) (RS5042)
2/24/22 Non-Employee Travel Voucher for State
2/2/22 Nonresident Alien Scholarship or Fellowship Voucher Request for State and UBF
8/3/15 NYSHIP Application for Enrolling Domestic Partners (PS-425.1)
8/27/15 NYSHIP Health Benefits Opt-Out Election (PS 409)
8/3/15 NYSHIP Health Coverage Request — Under the Young Adult Option
11/8/16 NYSHIP Health Insurance Enrollment or Change Form (PS-404)
8/7/15 NYSHIP Sick Leave Credit Election for Retirement (PS-405)
8/3/15 NYSHIP Termination of Domestic Partnership (PS-425.4)
9/30/15 Other Than Personal Service (OTPS) Inquiry
2/6/20 Paid Family Leave Waiver for State Employees
1/26/23 Pay Option Change Consent Form
6/18/20 Payment Card Procedures
8/26/15 Performance Evaluation For Probationary Period For State CSEA Employees
8/26/15 Performance Evaluation For State CSEA Employees
8/26/15 Performance Evaluation For State M/C Classified Employees
8/26/15 Performance Evaluation For State M/C Professional Employees
3/23/16 Performance Evaluation For State NYSCOPBA Employees
8/26/15 Performance Evaluation for State PEF Employees
8/26/15 Performance Evaluation For State UUP Employees
8/26/15 Performance Evaluation Worksheet For State PEF Employees
8/26/15 Performance Program For State CSEA Employees
8/26/15 Performance Program for State M/C Classified Employees
8/26/15 Performance Program For State M/C Professional Employees
8/26/15 Performance Program For State PEF Employees
8/26/15 Performance Program For State UUP Employees
12/15/15 Personal or Temporary Service Transfer Request
3/3/16 Prior Service Credit Request for State Professional Employee
8/12/15 Procurement Card (PCard) Application for State
11/9/22 Procurement Card (PCard) Credit Pending Form for State
8/12/15 Procurement Card (PCard) Maintenance Form for State
8/12/15 Procurement Card (PCard) Monthly Summary Log for State
8/12/15 Procurement Card (PCard) Order Form for State
8/6/21 Purchase Order Disencumbrance Request
10/19/23 Purchase Order Owner Reassignment in ShopBlue
10/13/15 Retirement Notice Template For State Employees
7/5/17 Retirement Planning Registration for State Employees on UB EDGE
10/21/21 Revenue Transfer Request
8/7/15 Social Security Refund U.S. Citizen
4/15/22 Special Waiver of Pay for Holiday Work — Security or Police Units
12/1/23 State Large Budget Revision Template
3/16/22 Supervisor Change Request
9/15/15 Teachers' Retirement System (TRS) Designation of Beneficiary (NET-11.4)
9/15/15 Teachers' Retirement System (TRS) Direct Transfer of Membership (TRF-3)
9/15/15 Teachers' Retirement System (TRS) Election To Reinstate (RIS-1)
9/15/15 Teachers' Retirement System (TRS) Member Name or Address Change (GRF-50)
9/15/15 Teachers' Retirement System (TRS) Request for Estimate of Pension
9/6/15 Teachers' Retirement System (TRS) Service Retirement Application (RET-54)
9/15/15 Teachers' Retirement System (TRS) Withdrawal from Membership (REF-7A)
8/16/15 Time Sheet (Biweekly) For Classified Full-Time Employees
8/16/15 Time Sheet (Biweekly) For Classified Part-Time State Employees
9/10/15 Time Sheet (Biweekly) for Overtime, Holiday or Intermittent Inconvenience for State Classified Employees
9/14/15 Time Sheet (Biweekly) For State Hourly-Paid Employees
9/16/15 Time Sheet (Biweekly) For State Student Assistants
2/12/16 Time Sheet (Monthly) For Adjunct Faculty Members
8/16/15 Time Sheet (Monthly) For Faculty and Professional Nonexempt Employees
8/16/15 Time Sheet (Monthly) For M/C Professional Nonexempt Employees
8/17/15 Time Sheet (Monthly) For State Graduate and Teaching Assistants (GSEU)
2/12/16 Time Sheet (Semiannual) For Adjunct Faculty Members
8/16/15 Time Sheet (Semiannual) For Classified Full-Time Employees
8/16/15 Time Sheet (Semiannual) For Classified Part-time Employees
8/17/15 Time Sheet (Semiannual) For Faculty and Professional Exempt Employees
8/16/15 Time Sheet (Semiannual) For Faculty and Professional Nonexempt Employees
8/16/15 Time Sheet (Semiannual) For M/C Professional Nonexempt Employees
8/17/15 Time Sheet (Semiannual) For State Graduate Student Employees
1/3/22 Travel NET Card Application for State
8/11/15 Tuition Assistance for SUNY Employees (B-140W)
8/11/15 Tuition Free Registration for UUP Employees
12/6/21 UB Jobs Posting Meeting Request
1/24/23 UB Marketplace General Store Setup for State Funds
1/24/23 UB Marketplace Requests (State)
7/29/15 Vacation Leave Donation Request
2/1/16 W2 Request (State)
4/15/22 Waiver of Additional Money for Holiday Work for State Classified Employees
5/20/21 Waiver of Holiday Pay for State UUP Employees

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