Forms - SUNY Cortland


All of the forms listed below are in a series of PDF files. You will need Adobe Acrobat Reader to access these files. If you are visually impaired and using a screen reader, you may need to download the latest Acrobat Reader from Access Adobe. If you are unable to access the information, please phone the Human Resources Office at 607-753-2302 to request a printed version of these items.

Some of the forms may also be available in MS Word format. Some of the documents available in MS Word were established in 'form' format. Tab through the shaded fields to complete the document. You can then save the document to your local drive by going to the file menu and 'Save As' a word document. If you have 'Quick View' installed on your computer, some of the MS Word documents may not open properly. 

ADA Position Description  (PDF | Word) 

Alternative Work Schedules (AWS) - CSEA, PEF, UUP Professionals, M/C 
AWS Application Form (PDF |Word
AWS Appeal Form (PDF |Word)

Benefits Forms 
PS-404 - NYS Health Insurance Transaction Form (PDF | Word) 
Salary Reduction Agreement (SRA) - (PDF | Word) (Use this form to increase or decrease your supplemental retirement savings amount (403b) to TIAA-CREF, Valic, VOYA,  MetLife, or Fidelity)
Worker's Comp Injury/Illness Reporting Form (PDF | Word)

Child Protection Policy Forms

  • Approval Form for Events Involving Children Under 17 (PDF)
  • Covered Person Clearance Form (PDF) (Word)
  • Covered Person Clearance Form for Athletics Dept. Only (PDF) (Word)

Ethics Forms

Leave Forms
Form and Preferred Paper Color

Blood Leave Donation Form (pink) (PDF |Word)

Cancer Screening Form (Breast Cancer or Prostate Cancer Screening) (green) (PDF |Word)

Leave Enhancement Form (PDF | Word)

Sabbatical Leave Application Form and Procedures (PDF)

Title F Leave Request Form (PDF)

Appointment/Reappointment Forms
Form and Preferred Paper Color

Appeal Form - Waiver of Search Denial (PDF | Word)
Form 2 - Req. to Fill or Re-classify Classified Position Form (green) (PDF | Word)
Form 6 - Abbreviated Re-appt. Form - FT: Professionals (yellow) (PDF | Word)
Form 7 - Abbreviated Re-appt. Form - PT: Academic Professionals, GA's/TA's (yellow) (PDF | Word)
Form 7a - Abbreviated Re-appt. Form PT: Coaches (yellow) (PDF | Word)
Form 8 - Affirmative Action Search Final Report (PDF | Word)
Form 9 - Classified Support Staff Hiring Report (PDF | Word)
Form 10 - Appt. Recommendation for Temp. Help: 16 weeks (yellow) (PDF | Word)
Form 11 - Extra Service/Also Receives (yellow) (PDF | Word)
Extra Service Guidelines - Statewide Guidelines (PDF | Word)
Extra Service Payroll Voucher (PDF)
Form 13 - Volunteer Appointment Form(yellow) (PDF | Word)

Student Assistant Assignment/Action Form (PDF | Word)

GA Vacancy Announcement Template (MS Word)

Management Confidential (MC) Evaluation Forms
Form and Preferred Paper Color 

MC- Performance Program (PDF | Word)
MC- Evaluation (PDF | Word)
MC- Secondary Source (PDF | Word

Phased Retirement Program

Phased Retirement Application (PDF | Word)  
Phased Retirement Assignment/Work Schedule (PDF | Word)     

Recall Request/Authorization Form for UUP Professionals (PDF)

UUP Professional Evaluation Forms
Form and Preferred Paper Color 

UUP - Performance Program (PDF | Word)
UUP - Performance Evaluation (PDF | Word)
UUP - Secondary Source (PDF | Word)
UUP - Modification to Performance Program (blue) (PDF | Word)

UUP Professional Salary Increase or Promotion 
Form and Preferred Paper Color  

UUP - Instructions and Procedures (PDF | Word)
UUP - Guidelines (PDF | Word)
UUP - Request for Review for Salary or Promotion Appendix A (blue) (PDF | Word)
UUP - Request for Appeal of Salary or Promotion Appendix B (blue) (PDF | Word)

UUP PDA (Formerly DSI) Information for 2014 Distributions

PDA Supervisor Supplemental Rating Form (PDF | Word)  

UUP Space Available Forms
Cortland Employees Attending Cortland - Form
 Non-Cortland Employees Attending Cortland - Form

Voluntary Reduction in Work Schedule (VRWS)  

Classified VRWS Application Form 2015-2016 (PDF | Word)

Classified VRWS Application Form 2016-2017 (PDF | Word)

Classified VRWS Application Form 2017-2018 (PDF | Word)

UUP VRWS Application Form (PDF | Word)  

Change in Professional Obligation Request Form (PDF |Word)

Loan of College Property Form (PDF |Word)

Cellular Phone Allowance Form (PDF |Word)

Confidentiality - Agreements for Employees/Volunteers/Interns

FERPA Records Fill in the Blank Statement (PDF |Word)

General Records Fill in the Blank Statement (PDF |Word)

Contact Us

Miller Building, Room 301

Phone: 607-753-2302
Fax: 607-753-5994
Hours: 8 a.m. - 4:30 p.m.