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ortable
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ocument
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ormat (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.
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is downloadable for free. You can also obtain these forms from Human Resource Services at 390 Administration Building or by calling (631) 632-6161.
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All Forms & Pubs
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State
Accident Reporting System (ARS) Procedures
HRSD0001
State
Attendance and Leave Accrual Report - M/C & UUP FLSA Non-Exempt Employees (FLSA Non-Exempt Time Sheet)
303NE
RF
Exception Report for Exempt Personnel (Professional Time Sheet)
HAFRM036
State
FMLA Leave Request Form
HRSF0003
State
FMLA Rights
HRSD0076
State
FMLA WH-380-E Certification of Healthcare Provider (For employee's own serious health condition)
WH-380-E
State
FMLA WH-380-F Certification of Healthcare Provider (For employee's family member's health condition)
WH-380-F
State,Student
Graduate Student Employee Attendance Report
SUSB0381
RF,Student
Hourly Attendance Report (SBU)
HAFRM037
State
Leave Donation Program - Classified Employee Recipient Application
HRSF0037
State
Leave Donation Program - Donor
HRSF0038
State
Leave Donation Program - Professional Employee Recipient Application
HRSF0036
RF,Student
Monthly Leave Record for Graduate Level Personnel
HAFRM038
Student
Policy on Graduate Student Employee Hours
HRSD0033
State
Productivity Enhancement Program (PEP)
CSEA/PEF - HSC & West Campus Employees Election Form
HRSF0078
State
Productivity Enhancement Program (PEP)
UUP (B.U. #08) & Management/Confidential (B.U. #13) - HSC & West Campus Employees Election Form
HRSF0074
State
Professional Staff Individual Report of Attendance
SUSB0303
RF
Research Foundation Leave Policy Manual
HRSD0003
State
State Workers' Compensation Accident Incident Report Form
SUSB3019
State
Time & Attendance Guidelines - State Classified Employees
HRSD0021
State
Time & Attendance Guidelines - State Professional & Faculty Employees
HRSD0022
State
University Leaves for Childcare, Child Birth, Adoption - State Classified Employees
HRSD0004
State
University Leaves for Childcare, Child Birth, Adoption - State Professional & Faculty Employees
HRSD0002
State
Workers' Compensation Procedure
HRSD0024
Training & Organizational Development
Volunteers (West Campus & HSC)
(Not Categorized)
Human Resource Services
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Raymond Chan