Employee Resources

If you do not see a form or resource that you are looking for, please contact the Business Office at (516) 624-6510. Additional resources are available on this page under Important Links.

General Forms

• 430b/457 OMNI Forms & Information
• Announcement Form
• Asset Disposal Form
• Budget Transfer Request Form
• Cancer Screening
  
• Compensation Accident Report
• COVID-19 Vaccine Request for Leave Form
  
• CTLE Record Keeping Form
• Dignity For All Students Act (DASA) Complaint Form
• Employee Information Change Form
• U.S. Equal Employment Opportunity Commission: Employment Rights as an Individual with a Disability
• Field Work Request Form
• Grade Change Form
• New Vendor Request Form
• P.O. Adjustment Form
• Salary Transfer Form
• Security Request Form

Benefits

• Dental Plan Enrollment (Teachers & Administrators)
• Family Leave Act Employee Guide
• Flex Spending Dependents Reimbursement Form
• Flex Spending Reimbursement Form
• Health Insurance (NYSHIP) Enrollment Form
• Health Insurance (NYSHIP-United Health Care) Claim Form
• Health Insurance Exchange Coverage Options
• NYSHIP Summary of Benefits
• Life Insurance Beneficiary Form
• Life Insurance Enrollment
• NYS Compliance to the Federal Medicaid Program
• NYS Confidential Medicaid Disclosure Policy

Compensation & Reimbursement

• Conference Reimbursement Form
• Direct Deposit Form
• Mileage Reimbursement Form
• Request for Payment of Extra Comp Services

Taxes

• IT-2104 Form (used to change NYS payroll withholdings)
• ST-129 NYS Sales Tax Exemption Form on Hotel & Motel Rooms
• W-4 2022 Form (used to change federal payroll withholdings)
• W-9 Form (for consultants)

Transaction Requests

• Building Level Accounts in Trust & Agency Transaction Request Form
• Building Level Accounts: General Transaction Request Form
• Scholarship Funds Transaction Request Form