Most of the forms provided here are in Adobe Portable Document Format (PDF). You must install Adobe Acrobat Reader before you can print these forms. To use our fill-in forms, you must install Adobe Acrobat Reader version 4.0 or greater. Acrobat Reader is downloadable for free. You can also obtain these forms from Human Resource Services at 390 Administration Building or by calling (631) 632-6161.


Student Employee
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RF Employee
State Employee
Student Employee
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Form NameForm ID
Multiple documents IconCOBRA - Application for Continuation of the Graduate Student Employee Health Plan (GSEHP)HRSF0042
Multiple documents IconEnrollment Form for Graduate Student Employees/Fellowes and Their DependentsHRSF0029
Multiple documents IconGraduate Student Employee - Continuation of Health Insurance (For Summer Only)HRSF0043
Multiple documents IconMaster Plan Document and Summary Plan Description for The Research Foundation of SUNY Graduate Student Employee Health PlanGSEHP
Multiple documents IconNYS Health Insurance Transaction Form (TA/GA Health Insurance Enrollment Form)PS-404G
Multiple documents IconResearch Foundation Graduate Student Employee Benefits At a GlanceHRSD0009
Multiple documents IconRF Affidavit of Financial InterdependencyHRSF0101
Multiple documents IconRF Benefit Plan Affidavit of Domestic PartnershipHRSF0100
Multiple documents IconRF Dependent Tax Affidavit for Enrolling Domestic Parnter in the Benefits Program.HRSF0103
Multiple documents IconRF Graduate Student Employees Value of Imputed Income for Domestic Partner Coverage - 2009HRSD0087
Multiple documents IconRPA Collective Bargaining Agreement Frequently Asked QuestionsHRSD0107
Multiple documents IconState Graduate Student Employee Benefits at a GlanceHRSD0008
Multiple documents IconStatement of Dependence of Domestic Partner's Child for Participation in the the RF Health Insurance PlanHRSF0102
Multiple documents IconTermination of Domestic Partnership FormHRSF0104

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