Forms

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
Alternative Work Schedules (AWS) - CSEA, PEF, UUP Professionals, M/C
Benefits Forms

PS-404 - NYS Health Insurance Transaction Form (PDF)
PS-404 - NYS Health Insurance Transaction Form (Word)
Salary Reduction Agreement (SRA) (PDF)

  • Use this form to increase or decrease your supplemental retirement savings amount (403b) to TIAA-CREF, Valic, VOYA,  MetLife, or Fidelity

Salary Reduction Agreement (SRA) (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)
Worker's Comp Injury/Illness Reporting Form (Word)

Child Protection Policy Forms
Ethics Forms
Leave Forms
Appointment/Reappointment Forms
GA Vacancy Announcement Template
Management Confidential (MC) Evaluation Forms
Phased Retirement Program
Recall Request/Authorization Form for UUP Professionals
UUP Professional Evaluation Forms
UUP Professional Salary Increase or Promotion
UUP PDA (Formerly DSI) Information for 2014 Distributions
UUP Space Available Forms
Voluntary Reduction in Work Schedule (VRWS)
Change in Professional Obligation Request Form
Loan of College Property Form
Cellular Phone Allowance Form
Confidentiality - Agreements for Employees/Volunteers/Interns

Contact Us

Miller Building, Room 301

Phone: 607-753-2302
Fax: 607-753-5994
Email: hr@cortland.edu
Hours: 8 a.m. - 4:30 p.m.

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