Benefit Forms

Eyeglass Reimbursement Form
Tuition Benefit Application Form - Faculty & Administrative Staff, Service, Security and Clerical Staff
EBS-RMSCO Medical Care Claim Form
EBS-RMSCO Dependent Care Claim Form
EBS-RMSCO Direct Deposit Form
EBS-RMSCO Health Care Expense Table
EBS-RMSCO Medical Mileage Reimbursement Form
EBS-RMSCO Certification of Medical Necessity
MetLife Dental Claim Form
Excellus BlueCross BlueShield Claim Form
SSA Reimbursement Request Form
CanaRx Formulary
CanaRx Enrollment Form

Payroll Forms

Change of Address Form
Check Distribution - Direct Deposit Form
Employment Requisition - Regular Hire (Non-exempt/hourly)
Employment Requisition - Temporary Hire (Non-exempt/hourly)

New Employee Forms

Request to Search Form; Request to Interview Form; Request to Hire Form - [Hiring Process for Exempt (non-hourly) positions]
Employment Requisition - Regular Hire (Non-exempt/hourly)
Employment Requisition - Temporary Hire (Non-exempt/hourly)
Information Change Form
New Employee Progress Report - CSEA
New Employee Progress Report - SEIU (Dining Services)
New Employee Progress Report - SEIU (Facilities Operations)

Miscellaneous Forms

Application for Employment
Incident Report Form
Desk Audit Request Form
Desk Audit Process
Leave of Absence Request Form
Employee Separation Checklist