Note: You MUST download the form(s) you need to your home computer and save them BEFORE opening and filling them. You need to use either “Edit With Adobe Pro” or “Open with Adobe Acrobat DC.” The form(s) WILL NOT be fillable, signable, or saveable with any entered data unless downloaded and opened with Adobe Pro or DC. To enable the form(s) to open automatically once downloaded, set Adobe Acrobat as your default PDF on your home computer/laptop. Instructions differ for Windows 10 and MACOS. To create a digital signature, follow the instructions based on the Adobe version you are using, Adobe Pro, or Adobe Acrobat DC.
Changes
Personal Data Change Request Form (Name/Address/Phone/SS#)
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 for Special Purposes
Application for Non-FMLA Medical Leave
Application for Paid Parental 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
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 Fitness for Duty Certification
General Accommodation Request Form
Instructional Staff Leave Record
Leave Record for Non-Teaching Staff
Non-FMLA Fitness for Duty Certification
PFL NYS – Care for Family member
PFL NYS – Military application
Travia Leave Instructional Staff & Faculty
Payroll
Employees must File a Permanent Address that Meets a Commutable Distance Standard by December 1
If due to the COVID-19 pandemic you changed your permanent address of record to an area outside the University’s commutable distance standard, which encompasses parts of New Jersey, Connecticut, Pennsylvania, and upstate New York, you need to reinstate your pre-pandemic address of record. CUNY is not set up as an employer in states beyond the commutable distance standard — and cannot withhold other states’ incomes taxes, participate in those states’ unemployment programs or apply their localized state and municipality laws. You MUST reinstate your pre-pandemic address of record that met the commutable distance standard. Submit a change of address form, by December 1st to officeofhumanresources@bmcc.cuny.edu.
2020-2021 Employee Holiday and Annual Leave Schedule
2021 NYS & NYC IT-2104 Tax Form
Adjunct 2021 Fall Payroll Schedule
Adjunct 2021 Summer Payroll Schedule
College Assistant 2021 Payroll Schedule
College Assistant T/L (for Supervisors).xls
CUNY Office Assistant 2021 Payroll Schedule
HEO Timesheet Submission Schedule
Employee Time Report On-Line Entry
New Teaching Adjuncts Claiming CUNY Service Credit & Adjust Hourly Adjunct Rate form
Payroll Cont’d
Unemployment Separation Information
Performance
CUNY Office Assistants (in Academic Offices) Performance Evaluation
Campus Peace Officer Performance Appraisal
Classified Managerial Performance Assessment
Determining Excessive Lateness or Excessive Absence
Employee Counseling Memorandum
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
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
Teaching Faculty Observation Report
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
CUNY Employment Application- Part 1
CUNY Employment Application- Part 2
CUNY Employment Application- Part 3
CUNY Employment Application- Part 4
Dedicated Sick Leave- Application to Donate
Dedicated Sick Leave- Application to Receive
Employee Clearance Checklist and Exit Interview Form
Helpdesk Form – Accounts, Updates, Passwords, and BMCC ID Card
Inter-College-Transfer Application/Policy
Intra-College-Transfer Policy for Competitive Titles
Intra-College-Transfer Policy for Gittleson Staff
Intra-College-Transfer Policy for Labor and Non-Competitive Titles
Records Management Certificate of Destruction
