Form types:

PDF printable (This form type must be printed to be filled by pen and submitted in person)
iFiller web fillable (This form type can be accessed thru web browser and submitted online, for on-campus use only)

  • General Forms
  • Benefits
  New Hire Benefits Forms PDF

Open Enrollment Forms

City Health Benefits


CUNY Adjunct Health Insurance
Adjunct Health Insurance Enrollment Packet


Ending Employment Forms


Flexible Spending Account Forms 


FMLA Forms

Family FMLA Forms

Non-FMLA Forms


Other Benefits Forms


Pre-Retirement Planning


Phased Retirement


Pre-Tax Savings Plans


Retirement Forms


Worker’s Compensation Forms

Employees should be filled out with a dark pen and legible (please print).

Supervisors must fill out and forward to HR the following forms within 48 hours of the injury/illness:

  • Time & Leave
  • Training & Development
  Additional Benefits Forms