Clinton Community College



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Human Resources Forms


  1. Absence Request CSEA - Request for absence (3 copies)
  2. Absence Request Professional Staff
  3. CSEA Overtime Authorization
  4. Direct Deposit Form - for Enrollment, Change, or Cancellation Authorization
  5. EAS - How To Use
  6. Eligible OTC Expenses - Preferred Group
  7. Empire Plan HI Form - Health Insurance Claim Form
  8. Faculty Absence - Personal, Sick, and Conference (3 copies)
  9. Flexible Spending Reimbursement Voucher - Preferred Group Plans, Inc.
  10. Guidelines for FSA HRA HAS Funds - The Preferred Group
  11. IT-2104 - NYS Employee's Withholding Allowance Certificate
  12. Pharmacy Reimbursement Form - The Empire Plan
  13. Request for On-Call and Temp Support Staff (3 copies)
  14. SUNY Application for Tuition and Fee Assistance B-140W (5 copies)
  15. Tuition-Free Course Request - Clinton Community College (4 copies)
  16. Tuition-Free Courses - Clinton Community College
  17. W-4 2011 - IRS Employee's Withholding Allowance Certificate