
Application for Employment - pdf (fillable)
Appointment Processing Forms
Campus Processing of Initial Professional Appointments (CP-1) - word
Campus Processing of Initial Professional Appointments (CP-1) - pdf (fillable)
Change of Status: Professional Appointment (CP-2) - word
Change of Status: Professional Appointment (CP-2) - pdf (fillable)
Renewal/Non Renewal Recommendation for Faculty and Professional Staff - word
Renewal/Non Renewal Recommendation for Faculty and Professional Staff - pdf (fillable)
Business Card Request Form - pdf (fillable)
Dental and Vision Forms
CSEA Dental Form - pdf
GHI Dental Form (M/C Employees) -pdf
Delta Dental Claim Form (UUP)
Davis Vision Direct Reimbursement Claim Form (UUP and M/C Employees)
Benefit Trust Student Verification Form (UUP)
Dependent Care
Dependent Care Advantage Account Reimbursement Form - pdf
Driving
Driving - SUNY Delhi Driver Information Form - word
Driving - SUNY Delhi Driver Information Form - pdf (fillable)
Evaluation, Performance Program and Annual Report Forms
CSEA Performance Program and Evaluation - pdf
Security Supervisors' Performance Program and Evaluation
Faculty Annual Report and Performance Program - word
Faculty Annual Report and Performance Program - PDF (fillable)
PEF Performance Program and Evaluation Form
Professional Employees' Evaluation Report
Professional Employees' Performance Program
Professional Employees' Performance Program - PDF (fillable)
Security Employees Performance Program and Evaluation
Extra Service
Faculty Promotion Forms
Faculty Promotion Release Statement
Faculty Promotion Request Form
Health Insurance Forms
Empire Plan Claim Form - pdf (fillable)
Health Care Spending Account Reimbursement Form - pdf (fillable)
Health Insurance Enrollment Form - pdf
HMO Enrollment Form - pdf
Leave Forms
Leave Form -word
Leave Form - pdf (fillable)
Leave Donation Form - pdf (fillable)
Unclassified Staff Leave Report - pdf (fillable)
Retirement Forms
New York State Employees' Retirement System Forms (ERS)
New York State Teachers' Retirement System Forms (TRS)
Salary Reduction Agreement Form
Search Forms
Request to Fill Form - word
Request to Fill Form - pdf (fillable)
Candidate Interview Report - pdf (fillable)
Hiring Procedure Report - pdf (fillable)
Student Employment Forms
College Work Study Request Form - pdf (fillable)
Summer Employment Request Form - pdf (fillable)
Student Employment Application - pdf (fillable)
Work Study Evaluation Sheet - pdf (fillable)
Tax Withholding and Other Payroll Forms
Federal Tax Withholding Form W-4 Form - pdf (fillable)
New York State Tax Withholding Form IT-2104 - pdf (fillable)
Direct Deposit Form - pdf (fillable)
Change of Address - pdf (fillable)
Temporary Service Forms
Temporary Service Fund Allocation (MS Word)
Temporary Service Fund Allocation (pdf - fillable)
Tuition Assistance
Tuition Assistance Application Form
UUP Waiver Registration Form - SUNY Delhi - pdf (fillable)
UUP Individual Development Awards
Supplemental Information Form - pdf (fillable)
Exit Process Forms
Supervisors Guide to Counseling
Faculty & Staff HandbookContact Info
P: 607-746-4495
F: 607-746-4158
E: humanresources@delhi.edu