Use for assistance filling out the Employment Eligibility Verification Form (I-9).

Use to verify your identity and that you are authorized to work in the US.

This outlines the documentation that must be collected as proof of eligibility before enrolling in NYSHIP for medical, dental, and vision.

If you are eligible, use this form to defer indefinitely the activation of your New York State Health Insurance Program (NYSHIP) coverage as a retiree.

Use to identify employees that are veterans of the US Armed Forces.

Use for assistance in completing a Direct Deposit Form (AC-2772).

Use to sign up for health insurance or make changes to your existing benefits. 

This form is for your physician to fill out when you (the employee) are filing for FMLA for a serious medical condition.

This form is for your physician to fill out when your family member has a serious medical condition and you are filing for FMLA.

This is the form to give your physician to release your medical records for a Workers' Compensation claim.