Forms

Benefit Forms

Health:

• Health Benefits Application
  
  
Domestic Partnership
• Adding a Domestic Partner to City Health Benefits
  
  Adjunct Coverage
• Adjunct Health Insurance Enrollment Form
• Adjunct Application for Health Coverage
  

PSC:

• www.psccunywf.org




DC37:

• DC37 Health & Security Plan Short Term Disability Benefit Claim
• Dental Claim form



Pension:

• Teachers Retirement System (TRS)
• NYC Employee Retirement System (NYCERS)


Teachers Insurance and Annuity Association (TIAA)
• Informational Guide & Enrollment Form
• TIAA-CREF Multiple Positions
• TIAA/SRA Salary Reduction Agreement
• TIAA-CREF Pension Enhancements


HRC - Tax-Deferred Annuity Program
• Salary Reduction Program



Education/Tuition Reimbursement:

• CUNY Employee Tuition Fee Waiver



Transit Benefit:

• Enrollment Form and Instructions
  

Retirees

• PSC-CUNY Retiree Enrollment Questionnaire
• Retiree Application/Recertification Form for Reimbursement of Medicare Medical Premiums

• Benefits
• Changes
• Leaves
• Payroll
• Performance
• Promotions/ Reclassfication
• Workload
• Worker's Compensation
• Miscellaneous