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Human Resources - Forms, Guides & Resources

Human Resources
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Select the form from the menu.
You will then begin downloading Microsoft Word or PDF versions of often used college forms.
You can then print them out and submit them to us at:

Human Resources Department
New York Medical College
Valhalla, N.Y. 10595
People Soft Forms and Instructions
Personnel Action Form (instructions)

Personal Data Change Form (instructions)

Personnel Requisition Form (instructions)

Service Agreement WMC Affiliation
Note: If you receive a warning about macros being disabled, click OK. Right-click over the link and use the "save as" option to download and save the form to your local drive.

Forms Guides, Descriptions & Evaluations

Beneficiary Designation

Dental Enrollment/Change Form (MetLife)

Dental Claim for MetLife

Dependent Tuition Remission

Dependent Care FSA Claim Form

Direct Deposit (HR-30)

Disciplinary Action (HR-23)

Employment Eligibility Verification (I-9)

Empire Enrollment Form

Empire Medical Claim Form

Empire Student Coverage Questionnaire

Exempt Overtime/Compensation Request Form (HR-21)

Exit Interview Questionnaire (HR-14A)

FLMA-Family and Medical Leave of Absence Application (HR-56)

FSA Enrollment Form

FSA Medical Determination Form

Graduate School Tuition Remission (HR-67)

Healthcare FSA Claim Form (HR-4)

Health Services Off Duty/ Return to Work Form HS-2

Incident Report (HR-47)

Internal Job Posting Application (HR-22)

Leave Adjustment

Master Enrollment (pg. 1)

Master Enrollment (pg. 2)

People Soft
Confidentiality Statement

Personnel File Access Request HR-29

Prescription Drug Mail Order Form

Prescription Drug Claim Form

Qualifying Event

Salary Reduction

Secondary FSA/Conexis BC/BS Benefit Card Request

Temporary Help Request (HR-41)

Termination Checklist (HR-13)

Volunteer Information Data Sheet

Volunteer in Laboratory Welcome Letter

Health Information Sheet for Volunteers in Laboratories

W-4 - Employee Withholding Allowance Certificate (Federal)

IT2104 - Employee Withholding Allowance Certificate (State & Local)


Exempt Position Job Description

Guide To Completing Job Descriptions

Nonexempt Position Job Description

Performance Planning and Evaluation Program (HR-26) (Click here for a PDF-fillable form)

Performance Improvement Plan

Performance Improvement Plan Guidelines

Union Job Description


Additional Forms

Form W8-BEN

Form 8233

NRSA (NIH) Stipend Levels for
Pre and Post Doc Fellows


Employment Forms

Affirmative Action Summary (HR-8)

Applicant Appraisal Form (HR-9)

New Employee Status Report (HR-25)

Reference Checks (HR-27)

Valhalla Employment Processing
Checklist HR-32

MSDS Online for New York Medical College Labs
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