Human Resources
 Forms

The documents available here are presented in Portable Document Format (PDF). To open, view and save these files, you will need Adobe Acrobat Reader 7.0 or higher installed on your computer. In order to properly save data you will need to take the following steps. In the edit menu select preferences, then select forms, uncheck the "keep forms data temporarily available on disk" and then select yes. The free Adobe Acrobat Reader software can be downloaded from the Adobe website. If you have any additional problems please contact helpdesk at x3695.

• CUNY Employment Application Form
• CUNY FMLA Certification of Health Care Provider
• CUNY FMLA Leave Policy
• CUNY FMLA Request Form
• Direct Deposit Salary Form
• Flexible Spending Accounts Form

• Form W-4 Federal Tax Withholding Form
• Hourly Employee Time Sheet (Complete online and print)

• IT-2104 Employee's Withholding Allowance Certificate
• Non-Teaching Time Sheet (Adjunct)
• Procedures for CUNY Employees Tuition Fee Waiver
• Tuition Waiver Approval Form
• TIAA-CREF Supplemental Retirement Annuity (SRA) Program

Workers' Compensation Forms

Injured Employees must fill out and forward to HR the following forms within 24 hours of injury/illness:

• Workers' Compensation Incident Document (C-2)
• Employee's Notice of Injury (WCD-23)
• Election of Options (DP-2002/OFSR 649)

Supervisors must fill out and forward to HR the following forms within 48 hours of the injury/illness:

• Supervisor's Report of Injury (WCD-201)
• Witness Statement (WCD-26)
• C-2 Addendum (if needed)

If you are unable to download a form, please call Human Resources.