Office of Human Resources
Forms - Unless otherwise noted, return all completed forms to Human Resources.
Some of the documents linked below are Adobe Acrobat PDF files. You will need to have Adobe Acrobat Reader installed on your computer in order to view them. If your computer does not have Adobe Acrobat Reader installed, you may download it for free from http://www.adobe.com/products/acrobat/readstep2.html Some forms can be filled in electronically and then printed. These forms have the
icon. Adobe Reader 6.0 or higher is required for these forms.
- Benefits Forms
- Blank Time Sheets
- CUNY Employment Application Form

- Evaluations-for use by supervisors
- New Hire Packages
- Payroll Forms
- Personal Information
- Request for Verification of Employment

- Time and Leave Forms
Time Sheets
Prior timesheets can be obtained by contacting the Payroll Unit at 646 660-6606
- College Assistant New June Timesheet
- Non Teaching Adjunct New June Timesheet
- Continuing Studies New June Timesheet
- College Assistant New Timesheets 2011-2012
- Non-Teaching Adjunct New Timesheets 2011-2012
- Non-Teaching Adjunct Timehseets from December 4 through Spring 2012
- Continuing Studies New Time Sheets 2011-2012
- Overtime Sheet - for Full Time Non Exempt PSC/CUNY Employees
- Buildings and Grounds Request for Overtime
- Public Safety Request for Overtime
- Unified Work Week Timesheet Schedule
Time and Leave Forms
-
Classified Staff Application for Leave - For use when requesting to use time for Annual, Sick or Unscheduled Holidays
-
Classified Staff Compensatory Time Authorization - Form to authorize compensatory time

-
Application For Leave For Special Purposes - (Full Time Teaching and Non-Teaching Instructional Time Sheet-Faculty, HEO's, Registrar and CLT's)

For use when taking jury duty or bereavement leave
Personal Information
- Personal Data Form
- Change of Personal Data Form

To be used for changes in personal information
Evaluations-for use by supervisors
- Classified General Evaluation

- CUNY Office Assistant

- Campus Peace Officer/Campus Public Safety Sergeant Performance Evaluation Form

Payroll Forms
Unless noted otherwise, all forms should be returned to Human Resources.
- State Certificate of Tax
Withholding (IT-2104 for 2012) - For NY State taxes -
To be filled out with Federal W-4 form

- State
Certificate of Exemption from Withholding (IT-2104E-2012) - For any resident who wants to claim exemption from state/city tax. The criteria are listed on the form that the employee must meet to qualify for exemption

- Paycheck Receipt
Form

Return to the Controller's Office -
Employment Eligibility Verification (I-9 Form) -For use in verifying employment eligibility with US

- Exemption from Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual -This information and forms are to be used by nonresident aliens only who want to claim exemption from federal and state/city taxes
- Workload Reporting Form - For Adjunct Instructional Staff and Graduate Assistants

- Overtime Sheet - for Full Time Non Exempt PSC/CUNY Employees
- Overtime Sheet - for Full Time Exempt PSC/CUNY Employees

