Instructions for Completing CP-1 Form

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Appointment Type: Check one.

Employee Information

• Name: Please indicate appointee’s legal name here, including middle initial.
• SUNY ID: This # is generated after the person is entered in the SUNY payroll system and will be added by HRS.  Note: All employees must have a US social security number
• Home Address: Please indicate appointee's home address here. Campus addresses are not acceptable
• Home Phone: Please indicate appointee’s home telephone number here.
• U.S. Citizen: Please indicate “yes” or “no”. (Human Resource Services will be responsible for obtaining appropriate documentation from the appointee)
• Most Recent State Service: Please indicate the most recent semester or the last date employed by New York State. If employed with a state agency other than Plattsburgh State University of New York, please specify the name of the agency.
• Prior Professional Service Credit Granted: Please indicate if such credit was granted at the time of the negotiation by selecting “yes ” or “no .” Prior Professional Service Credit granted must be indicated in the appointment letter.
• Years Granted: If there has been Prior Professional Service Credit granted, please specify the number of years, up to a maximum of three years (reference Article XI, Title B, 3(d) and Title C, 4(a)(2)(c) of the Board of Trustees Policies).

Appointment Information

• Department Name: Please indicate employing department here.
• Line Number: Please insert line number, if known, or leave blank for completion by Budget and Financial Reporting Services.
• Account Number: SUNY Plattsburgh account number(s) where position is to be charged.
• Percentage: Please indicate percentage to be charged to each account number here, if using more than one account.
• Supervisor’s Name: Please indicate the direct supervisor of the appointee here.
• FTE: If full time use 1.0. If part-time academic, please refer to chart below, otherwise will be determined by Budget and Financial Reporting Services based on work obligation.
• Budget Title/Grade: Must correlate with approved SUNY System Administration titles. (Reference the Job Specification Reference Guides or contact Human Resource Services)
• Campus Title: Descriptive title applicable to Plattsburgh State University of New York.
• Compensation: Please indicate amount of compensation and designate the appropriate time period here. If the period is other, please provide an explanation. 
• Appointment Type: Please select one box on each line. (Reference Board of Trustees policies Article XI, Titles A through G for definitions, if necessary)
• Appointment Effective: Please indicate the beginning and ending dates of the appointment here. If academic appointment, semester start date should be used.
• Work Obligation: Please select one box and indicate active dates of service if “College Year” or “Other.” Work obligation may differ from appointment dates. “College Year” appointments are appropriate when a professional employee will work more than 10 months but less than 12 months. “Other” appointments are appropriate for employees whose obligation differs from the available categories.

Approvals/Signature Route: Route in order indicated. Upon completion of signature approval section, HRS will distribute copies to offices indicated on distribution list found at the bottom of the CP-1.