Forms

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.   

PFL NYS – Care for Family member

PFL NYS – Military application

PFL NYS – Bonding 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

Direct Deposit

Employee Time Report On-Line Entry

Federal W-4 Tax Form 2021

Federal W-4 Tax Form Q&A

I9 Remote Policy

I-9 Verification Form

New Teaching Adjuncts Claiming CUNY Service Credit & Adjust Hourly Adjunct Rate form

NYCAPS Employee Self-Service account

Overtime Summary Sheet

Student-Employee FICA Tax Exemptions Guide

Payroll Cont’d

Unemployment Separation Information

W-2 Duplicate Request

W2 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

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

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

Business Cards Form

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

Personnel Action Form

Records Management Certificate of Destruction

Remote Work Agreement

Report of External Employment for Classified Staff

Retiree Email Request Form

Tuition Fee Waiver

BMCC Human Resources

199 Chambers Street, Room S-717
New York, NY 10007
Phone: (212) 220-8300
Fax: (212)-220-2364

Hours of Operation:
Monday-Friday
9 a.m. – 5 p.m.