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ICHR Documents

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HR Document Listing

All HR Documents can be found by visiting our Human Resources Documents SharePoint Site. Folders have been established for certain types of documents for ease of searching. If you cannot find the document you are looking for please email humanresources@ithaca.edu. 

Please understand that the HR Documents SharePoint site is only accessible by those with an active NetPass. Additional documents can be found below. 

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Additional HR Documents

file-outline DependentContactDesignationForm.pdf - DependentContactDesignationForm.pdf (53.44 KB)
file-outline MedicalPreventiveList.pdf - MedicalPreventiveList.pdf (390.88 KB)
file-outline ACAPublicExchangeNotice.pdf - ACAPublicExchangeNotice.pdf (218.68 KB)
file-outline Medical_POSIISummary.pdf - Medical_POSIISummary.pdf (147.53 KB)
file-outline Medical_HDHPSummary.pdf - Medical_HDHPSummary.pdf (148.04 KB)
file-outline Influenza Vaccine Form 2020 - 2020fluvaccineform.pdf (223.72 KB)
file-outline Paid Time Away Policy FAQs - paidtimeawayfaq-_10.2020updates.pdf (100.79 KB)
file-outline Document Requirements for Benefit Dependents - supporting-documentation.pdf (21.76 KB)
file-outline Add Dependent or Contact Instructions - add-dependent-contact-instructions_.pdf (92.54 KB)
file-outline 2021 Benefits Rate Sheet - rate-sheet-handout-2021-final.pdf (165.62 KB)

Benefit Documents

file-outline High Deductible Health Plan - Highlight Summary - hdhp-highlight-summary-sheet.pdf (172.06 KB)
file-outline Summary of Benefit Coverage for HDHP - summary-of-benefit-coverage-hdhp.pdf (1.49 MB)
file-outline Point of Service II - Highlight Summary - posii-highlight-summary-sheet.pdf (171.22 KB)
file-outline Summary of Benefit Coverage for POS II - summary-of-benefit-coverage-posii.pdf (1.5 MB)
file-outline 2019 Summary Annual Report Retirement Plan - 2019-sar-403b-retirement-plan.pdf (26.25 KB)
file-outline 2019 Summary Annual Report Emeriti Plan - 2019-sar-emeriti-plan.pdf (10.81 KB)
file-outline 2019 Summary Annual Report Group Life and Medical Plans - 2019-sar-group-life-and-medical-plans.pdf (13.62 KB)
file-outline 2019 Summary Annual Report Long Term Disability Plan - 2019-sar-long-term-disability-plan.pdf (13.23 KB)

Labor Law Notices

file-outline Correctional Records Notice - correctional-records-notice.pdf (11.53 KB)
file-outline Equal Employment Opportunity Notice - eeo.pdf (116.43 KB)
file-outline Employee Polygraph Protection Act Notice - eppa.pdf (92.11 KB)
file-outline Families First Coronavirus Response Act Notice - ffcra.pdf (177.72 KB)
file-outline Family Medical Leave Act Notice - fmla.pdf (490.33 KB)
file-outline Federal Minimum Wage - minimum-wage-flsa.pdf (128.53 KB)
file-outline Division of Human Rights Discrimination Notice - nys-division-of-human-rights-bilingual.pdf (154.24 KB)
file-outline NYS Minimum Wage - nys-minimum-wage-bilingual.pdf (75.82 KB)
file-outline Occupational Safety and Health Administration - osha.pdf (940 KB)
file-outline NYS Working Hours for Minors Notice - permitted-working-hours-for-minors-under-18-child-labor.pdf (122.86 KB)
file-outline NYS Time Off to Vote Notice - time-off-to-vote.pdf (125.96 KB)
file-outline USERRA Notice - userra.pdf (310.23 KB)

COVID19 Related Documents

file-outline Notification Process for COVID19 Positive, Quarantined, or Isolated Employees - notification-process-for-covid-updated-01.08.2021.pdf (148.5 KB)

Payroll Documents

file-outline New W-2 Service through ADP - new-adp-w2-services.pdf (89.64 KB)
file-outline 2021 BiWeekly Payroll Schedule - biweekly-timeline-periods-2021.pdf (407.12 KB)
file-outline 2021 SemiMonthly Payroll Schedule - semimonthly-time-periods-2021.pdf (388.24 KB)