Forms
Select a Category
Insurance
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Link to online form
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Link to online form
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Link to obtain form online
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For home delivery of ongoing medications for 90-day refills
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OptumRx Prescription Reimbursement Request Form
Dental and Vision Insurance
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For out-of-network services only
Flexible Spending Accounts (FSA)
Tuition Benefits
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Use this form to complete the application for Tuition Grant for Dependent Children electronically via Docusign.
Employment
Payroll
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All employees must complete this form in order to work in New York State
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Leave Bank
Performance Assessment
Worker's Compensation
Leave of Absence/Accommodations
Address/Personal Information Update
Please update your address in for Payroll, HR, and the directory.
Please note: Workday will update your address with benefits providers except TIAA. Please contact TIAA directly to update your address. You may update under “My Profile”, or by phone 800-842-2252.
Contact
Human Resources
Office Location
Philip Spencer House
Phone
