Forms

Leave Forms

• Jury Duty Form
• Application for Travia or Terminal Leave
• Leave Record for Non-Teaching Staff
• Leave Record for Teaching Instructional Staff
• Application for Special Leave for Personal Emergency for Instructional Staff
• Application for Professional Reassignment Leave
• Application for Leave
• Application for Partial Disability Leave
• Application for Temporary Disability Leave
• Application for Child Care Leave
  for Instructional Staff
• Application for Child Care Leave of
  Absence for Non-Instructional Staff
• Application for Paid Parental Leave

Family Leave and Medical Act (FMLA)

• CUNY Policy on Family & Medical Leave Act
• Family and Medical Leave Request Form
• Certification of Health Care Provider for the CUNY Employee’s Serious Health Condition
• Certification of Health Care Provider for the CUNY Family Member’s Serious Health Condition
• Certification for Serious Injury or the CUNY Illness of Covered Servicemember – for Military Family Leave
• Certification of Qualifying Exigency for Military Family Leave
• Notice of Eligibility and Rights & the CUNY Responsibilities
• Designation Notice

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