Forms

*Some fillable PDF forms should be downloaded locally to be filled out as they will not display in some Adobe Reader browser plugins properly.

Adjunct Forms

• Adjunct Benefits Information and Forms
• Adjunct Workload Reporting Form (PDF)
• Two-Year and Three-Year Appointments for Teaching Adjuncts* (PDF)
• FAQ: Three-Year Appointments for Teaching Adjuncts (Fall 2018–Spring 2021) (PDF)
• Adjunct Appointment Timeline for Winter and Spring 2021

Annual Leave Request Forms

• Instructional Non-Teaching Staff and Librarians (PDF)
• White Collar Classified Staff (PDF)

Benefits and Leave Forms

• PSC Welfare Fund Change Form (PDF)
• More forms are available here.

Leave Forms and Information

• Annual and Sick Leave
• Bereavement Leave
• Catastrophic Sick Leave
• Child Care Leave (Unpaid)
• Dedicated Sick Leave
• Family Medical Leave Act (FMLA)
• Jury Duty
• Paid Family Leave
• Paid Parental Leave (PPL)
• Special Leave of Absence without Pay for Faculty (PDF)

Change of Address / Personal Information

• Basic Personnel and Address Information (PDF)
• Gender Change Request Form* (PDF)
• Preferred Name Request Form* (PDF)

CUNY Employee Tuition Fee Waiver

• CUNY Employee Tuition Fee Waiver
• CUNY Employee Tuition Fee Waiver Form (PDF)

CUNY Work/Life Program Employee Mediation Referral

• CUNY Work/Life Program Employee Mediation Referral

Direct Deposit

• Direct Deposit

Employee of the Month

• Nomination Form (PDF)
• Sample Nomination Form (PDF)

Employment Verification

• Employment Verification

Faculty Academic Leaves

The Office of the Associate Provost for Faculty and Administration website contains information about the following leaves of absence:

• Fellowship Leave Application
• Scholar Incentive Awards
• Special Leave of Absence Without Pay

Graduate Assistant

• Graduate Assistant Workload Reporting Form (PDF)

HEO Labor Management Committee Forms

• HEO Series Application for Assignment Differential (PDF)
• HEO Reclassification Form (PDF)
• Workload Concerns for HEO Series (PDF)

Multiple Position Application for HEOs, CLTs, and Research Assistant/Associates

• Memo: Change From Overload Appointment Authorization to Application for Multiple Position (PDF)
• Application for Multiple Positions (PDF)

New Employee Forms

• Amended Constitutional Oath (PDF)
• Amended Constitutional Oath—Instructional (PDF)
• Benefits—Classified Full Time (PDF)
• Benefits—Classified Part Time (PDF)
• Benefits—Instructional Staff Full Time (PDF)
• Brooklyn College E-Mail Application (PDF)
• CUNY Employment Application—Parts One and Two (PDF)
• CUNY Employment Appllcation—Part Three (PDF)
• CUNY Employment Application—Part Four (PDF)
• CUNY External Employment Form (PDF)
• CUNY Policy Receipt (PDF)
• Emergency Contact Information (PDF)
• Emergency Evacuation Assistance (PDF)
• Fingerprinting Procedures (PDF)
• I-9 List of Acceptable Documents (PDF)
• IT Security Orientation (PDF)
• Personal Data Form (PDF)
• Self-Identification Disability Form (PDF)
• Self-Identification Ethnicity Form (PDF)
• Self-Identification Veteran Form (PDF)
• Sprintax (PDF)
• Statement of Citizenship (PDF)

Overtime Request Forms

• Research Assistant / College Laboratory Technician (PDF)
• HEO—Higher Education Officer (PDF)

Payroll Forms

• Payroll Support

Performance Evaluations

• Classified Managerial Evaluation Form (PDF)
• Classified Staff Evaluation Form (PDF)
• Campus Peace Officer Evaluation Form (PDF)—For Sergeants, Officers, CPOs, and CPAs
• CLT Evaluation Form (DOC)
• HEO Evaluation Form (PDF) (DOC)

Person of Interest (POI) Request

• Person of Interest (POI) Form and Submission Instructions

Reasonable Accommodations / General Accommodation

Reasonable Accommodations

Refer to Human Resource Policies for more information.

• Reasonable Accommodations Request Form (PDF)
• Reasonable Accommodations—Health Care Provider Assessment Form (PDF)

General Accommodation

• General Accommodation Request Form (PDF)

Retirement

• Retirement

Summer Four-Day Work Week

• Implementation Procedures (PDF)

Visiting Scholar

• Visiting Scholar Status Procedure (PDF)
• Visiting Scholar Application (PDF)

Workers’ Compensation

• Workers’ Compensation

Timesheets

Full-Time Titles

Submit completed and signed timesheets for the following full-time titles via e-mail.

• Classified White Collar (PDF)
• CLT Series, HEO Series, and RA Series (XLS)

Monthly Timesheet Submission Schedule—Classified White Collar Titles—2024 (PDF)

Bi-Weekly Timesheet Submission Schedule for HEO and CLT title series

• June 2024–July 2025 (PDF)

Part-Time Titles

Submit completed and signed timesheets for the following part-time titles via e-mail.

• College Assistant / Student Aide (PDF) (DOC)
• Non-Teaching Adjunct (PDF)

Pay Schedule

Pay Schedule