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Forms

Changes

Change of Address/Name

Change of Emergency Contact

Designation of Beneficiary for Non-Instructional Staff

Leaves

Application for Child Care Leave Classified Staff Only

Application for Child Care Leave Instructional Staff

Application for Fellowship Award

Application for Leave

Application for Leave for Special Purposes

Application for Non-FMLA Medical Leave

Application for Partial Leave of Absence with Partial Pay

Application for Professional Reassignment Leave in the Libraries

Application for Scholar Incentive Award (SIA)

Application for Special Leave for Personal Emergency for Instructional Staff

Application for Special Leave of Absence without Pay

Application for Temporary Disability Leave

Classified Staff Terminal Leave

Dedicated Sick Leave- Application to Donate

Dedicated Sick Leave- Application to Receive

FMLA Certification for Serious Injury or Illness (Military)

FMLA Certification of Family Relationship

FMLA Certification of Qualifying Exigency for Military Family Leave

FMLA Certification of Serious Injury or Illness (Veteran)

FMLA Designation Form

FMLA Fact Sheet

FMLA Fitness for Duty Certification

FMLA HCP Employee

FMLA HCP Employee Family

FMLA Request Form

Leave Record for Non-Teaching Staff

Leave Record for Teaching Instructional Staff

Non-FMLA Fitness for Duty Certification

Non-FMLA Medial Leave- Designation Notice

Notice of Eligibility and Rights and Responsibilities

Travia Leave Instructional Staff & Faculty

Payroll

Direct Deposit

Employee Time Report On-Line Entry

Federal W-4 Tax Form

NYS & NYC IT-2104 Tax Form

Overtime Summary Sheet

W-2 Duplicate Request

Performance

Campus Peace Officer Performance Appraisal

Classified Managerial Performance Assessment

Determining Excessive Lateness or Excessive Absence

Employee Counseling Memorandum

Employee Warning Form

General Guidelines for Merit Increase

Guidelines for Merit Increases for Civil Servants

Performance Evaluation Form - Sub-Managerial Supervisory Positions (B&G)

Performance Evaluation Memorandum - CLT Only

Performance Evaluation Memorandum-HEO Series

Probationary and Service Report

Sergeant Performance Appraisal

Staff Review Screening Form

Workload/Position Classification Review- HEO

Promotion/Reclassification

Workload

Full Time Faculty Workload Report

Multiple Position Form for Full-Time Faculty

Multiple Position Form for Non-Teaching Instructional Staff

Multiple Position Summer Assignment Reporting Form

Notice of Interest by Teaching Adjuncts for a Two-Year Appointment

Workload Report Form for Adjunct Faculty and Graduate Teaching Fellows

Worker's Compensation

Employer's Report of Work-Related Injury/Illness

Workers' Compensation Claim Initiation- Employee Statement Form

Workers' Compensation Claim Initiation- Witness Statement Form

Workers' Compensation- Election of Rate of Charge Against Annual and/or Sick Leave Balances

Workers' Compensation- Employee Claim

Workers' Compensation- Supervisor Report of Injury

Miscellaneous

Application for Employment Short Form

Authorization for Release of Information

Authorized Signatures to approve regular Time and Leave Records

Business Cards Form

CUNY Employment Application- Part 1

CUNY Employment Application- Part 2

CUNY Employment Application- Part 3

CUNY Employment Application- Part 4

Employee Clearance Check list and Exit Interview Form

Helpdesk Form - Accounts, Updates, Passwords and BMCC ID Card

I-9 Verification Form

Inter-College-Transfer Application/Policy

Intra-College-Transfer Policy for Gittleson Staff

Personnel Action Form

Records Management Certificate of Destruction

Report of External Employment for Classified Staff

Retiree Email Request Form

Tuition Fee Waiver

WageWorks Park-n-Ride

WageWorks Transit

BMCC Human Resources

199 Chambers Street, Room S717
New York, NY 10007
Phone: 212 220-8300
Fax: 212-220-2364

Hours of Operation:
Monday-Friday
9:00 AM – 5:00 PM