HUMAN RESOURCES FORMS
Benefits Related Forms
Certification of Marriage or Domestic Partnership and Declaration of Dependents (Word)
This form must be completed if employee wishes to cover his or her spouse (domestic partner for medical only) and eligible dependents under the Colleges' benefit programs.
Disability/Workers Compensation Forms
This form is used to report accidents that occur on campus property.
Short Term Disability Claim Form (PDF)
This form is used to claim for statutory disability benefits for an extended absence (longer than 7 consecutive days) due to a non-work related illness or injury. Employee completes Part A-Claimant then has his/her attending physician to complete Part B before returning to Human Resources.
Reasonable Accommodations for Employees with Disabilities
To request an accommodation please complete the accommodation request form and return it to Human Resources.
Position Approval Request (PAR)
This form is to assist supervisors/senior staff members in requests for new positions, fill vacancies, promotions, salary increases, change in status, etc. Completed PAR Forms must be approved by your senior division lead and submitted no later than two days prior to the next meeting date.
Youth Program Questionnaire
This form should be completed by any employee who oversees a youth program or activity sponsored by HWS, whether it takes place on campus or off campus.
Medical, Dental and Flexible Spending Account Claim Forms
Excellus Claim Form (PDF)
Faculty and Staff Gift Commitment Form - Payroll Deduction*
*To make your gift on a credit card please visit our secure online giving site at www.hws.edu/onlinegiving.
New Employee Hire Forms
Information on employment eligibility and the I-9 form. The I-9 is required to be completed in the Human Resources Office on the employee's first day of work. Original documentation must also be presented at that time.
This form, known as the I-9, is required to be completed in the Human Resources Office on the employee's first day of work. Original documentation must also be presented at that time.
NYS IT-2104 (PDF)
This form is the US Employee's Withholding Allowance Certificate - it is the New York State tax withholding document.
W-4 Form (Federal Tax) (PDF)
This form is the US Employee's Withholding Allowance Certificate - it is the federal tax withholding document.
To enroll or change your Transamerica deferral, please refer to their website at www.trsretire.com.
Tuition Benefit Forms