Forms

403(b) Universal Availability Notice

403(b) Web Enrollment and Access Guide

Budget Transfer Form

COBRA Notice (Annual)

Conference Request Form

EMPIRE BC Member Medical Claim Fill

EMPIRE BC Member Prescription Claim Fill

Exit Survey Form

Expense Voucher 2022 (Before July 1, 2022)

Expense Voucher 2022 (After July 1, 2022)

FMLA Rights Notice

Form I-9

IT 2104 New York State Tax Withholding Certificate (2023)

FAQs on the 2020 Form W-4

W4 Federal Tax Withholding Certificate (2023)

Form W9

Mileage Reimbursement 2022 (Before July 1, 2022)

Mileage Reimbursement 2022 (After July 1, 2022)

NYSLRS Enrollment Offer

NYSLRS Membership Enrollment

NYS Teachers Retirement System Enrollment Form

Requisition Form

Termination Request Form Benny Card

Related Links:

Please visit the Staff Intranet  for the Direct Deposit Change Form