Ithaca CollegeHuman Resources
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Online Forms

The following forms are available for filling-in online or downloading to your local computer. All forms are available in Adobe PDF format. It is recommended that you have at least version 5 of the Adobe Acrobat Reader software:

Form Instructions: To fill the form in online, use the "Tab" key to move through the fields or click on a field using the mouse. Note: The tab key does not stop at check box fields. You must click each check box field using the mouse. Once the form is complete, print using the printer from the Acrobat toolbar. Instructions as to where to send the documents are located at the top of each page.

Employee Accrual Worksheet

  • Printable PDF for manual entry
  • Downloadable Excel file with automatic calculations

Community and Public Service

  • Leave of Absence Request Form (Public Service)
  • Vacation Donation Request Form

Certification of Qualified Domestic Partnerships

  • Affiidavit of Domestic Partnership
  • Tax Information
  • Declaration of Termination of Domestic Partnership

Medical

  • Aetna reimbursement/claim forms

Dental

  • Ameritas claim form

Life Insurance

  • Add Beneficiary/Contact form

Retirement

  • TIAA-CREF salary reduction/beneficiary forms

BenefitsYourLife : Wellness Program

  • FitWell, WeightWatchers

Workers' Compensation

  • Report of Accident

New York State Disability

  • Disability Notice

OSHA

  • Employee Exposure and Medical Records Request

Educational

  • Cash Award Application
  • Staff/Faculty Tuition Remission Application
  • Dependent Tuition Remission Application

Home ¦ Benefits ¦ Compensation ¦ Employment ¦ Employee Relations ¦ HR Information ¦ Staff Development
Last updated by HR Information :: 14-NOV-05
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