Directory of Human Resource Services Forms
Address Change Form
Employees may now change their address using the new Self Service feature.
Or by submitting the Address Change Form (PDF) to Human Resource Services
Annual Activity Report
According to Article 14 of the Professional Performance Review Agreement and Article 6 of the Academic Performance Review Agreement between UUP and SUNY Plattsburgh, each UUP employee is required to submit an Annual Activities Report to the President, or designee each year for the term of obligation last ended. Please note the May due date for Academic Affairs division employee.
- Professional Employee Annual Activity Report (.xlsx)
- Professional Employee Annual Activity Report User Manual (PDF)
- Academic Employee Annual Activity Report (.xlsx)
- Academic Employee Annual Activity Report User Manual (PDF)
Application to Volunteer
Background Verification Authorization Release Form
- Download Background Verification Authorization Release Form (MS Word)
CP-1 (Appointment Form)
Appointment form, or reappointment following a break in service of one semester or more, for unclassified staff.
Contact HRS for assistance with automatic generation of CP-1 in ORS for new hire.
- Download CP-1 Appointment Form (Fillable) (MS Word)
Need Help Completing the CP-1 Form? View instructions.
CP-3 (Change in Status Form) Full-Time/Part Time
Change in status form, or reappointment, for unclassified staff.
- Download CP-3 Change In Status Form (MS Word)
Need Help Completing the CP-3 Form? View instructions.
CP-3a (Adjunct Reappointment Form)
Reappointment for adjunct titles.
- Download CP-3a Adjunct Reappointment Form (MS Word)
Need Help Completing the CP-3a Form? View instructions.
CSEA Annual Performance Evaluation Form
- Download CSEA Annual Performance Evaluation Form (MS Word)
Customer Comment Card
- Download Customer Comment Card (PDF)
Employee Suggestion Program
Form to be used when submitting suggestions. Please print and sign the form prior to submission.
- Download Employee Suggestion Form (MS Word)
Employee Accident Report
This form must be completed and forwarded to Human Resource Services to report a work-related accident.
- Employee Accident Report (PDF)
- Supervisor's Accident Investigation Form (PDF)
- Claimant Information Packet (PDF)
- Social Security and Medicare Tax Refund Certification (PDF)
- Download Honorarium Approval Form (Fillable MS Word)
Official Activity Expense Payment or Service Payment
- Download Official Activity Expense Payment or Service Payment Form (Fillable MS Word)
Health Insurance Transaction Form PS-404
- Health Insurance Transaction Form PS-404 (PDF)
- Pre-Tax Contribution Program Fact Sheet (PDF)
- Opt-out Program Attestation Form (PDF)
Leave Donation Form
- Download Leave Donation Form (Fillable MS Word)
Name Change Form
- Download Name Change Form (PDF)
Personal Information Form
- Download Personal Information Form (Fillable)
Performance Review (Professional)
- 2018 Memo (PDF)
- 2018-19 Calendar (PDF)
- Transmittal Form (PDF)
- Inventory Sheet (PDF)
- Record of Access (PDF)
- Performance Program Cover Sheet (PDF)
- Additional Information (PDF)
- Professional Performance Review Document (PDF)
- UUP Website
Performance Review (Academic)
Statement in Lieu of Oath
- Download Statement in Lieu of Oath (PDF)
Tenure Clock Stop Form
Request to stop the clock toward continuing or permanent appointment for birth/adoption/foster care placement of a child
- Download Tenure Clock Stop Form (Fillable MS Word)
UP-8P (Request for Extra Service/Other Service Form)
Request for Extra Service/Other Service Form (All Employees except M/C).
- Download Request for Extra Service Form (Fillable MS Word)
Violence Incident Report Form
A reportable violent incident should be defined as any threatening remark or overt act of physical violence against a person(s) or property whether reported or observed.
- Download: Violence Incident Report Form (Fillable MS Word)
Voluntary Reduction in Work Schedule (VRWS}
This program allows employees to voluntarily trade income for time off. See your Collective Bargaining Agreement for additional details specific to your negotiating agreement.