Forms

Here, you will find forms that can save you a trip to HR. All forms that are in a PDF format require Adobe Acrobat Reader, version 4 or higher. To download this free software, visit http://get.adobe.com/reader/ and follow the instructions.

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Benefits Forms

General Employment Forms

Job Evaluation & Position Control Forms

Employee Action Forms

Faculty Recruitment-Related Forms

 

Benefits Forms

Form Name Use
Accident Report Form To report an accident or injury that occurs at work.
Adoption Assistance Program Reimbursement Form To request reimbursement for eligible adoption expenses.  You can complete a Service Request for this reimbursement at the RIT Service Center portal.  
Affidavit of Domestic Partnership To certify your domestic partner relationship.  You can complete a Service Request for this at the RIT Service Center portal.  
Application for Domestic Partnership Benefits To enroll, change, or cancel benefits for your domestic partner.  You can complete a Service Request for this at the RIT Service Center portal.  
Benefits Enrollment/Change Form – Full-Time and Part-Time Employees To enroll, change, or cancel most RIT benefits.  You can complete a Service Request for this at the RIT Service Center portal.  
Benefits Enrollment/Change Form - Adjunct Employees To enroll, change, or cancel RIT healthcare benefits.  You can complete a Service Request for this at the RIT Service Center portal.  
Benefits Enrollment/Change Form - Retirees To enroll, change, or cancel RIT retiree benefits.  You can complete a Service Request for this at the RIT Service Center portal.  
Beneflex Authorization to Release Protected Health Information (PHI) To provide your authorization to LBS to release your PHI to another person(s) or entity (PHI includes information regarding your account and your claims).
Beneflex Data Change Form To update LBS with new information (e.g. address change).
Beneflex Direct Deposit Form To sign up, change or cancel direct deposit of Beneflex reimbursements.
Beneflex Reimbursement (FSA) – Dependent Day Care Spending Account To claim Beneflex dependent day care spending account reimbursements.
Beneflex Reimbursement (FSA) – Health Care Spending Account To claim Beneflex health care spending account reimbursements.
Beneflex Request Form for Additional Flex Card To request an additional Flex Card for a family member.
Job-Related Verification Process for Regular Employees To apply for tax waiver for graduate courses taken by RIT regular employees. This process is completed online in Oracle Employee Self-Service at the link called My Graduate Course Tax Waiver Request.  Please complete before Drop/Add date.
Job-Related Verification Form for Adjunct Employees To apply for tax waiver for graduate courses taken by RIT adjunct employees.    Please complete before Drop/Add date.  You can complete a Service Request for this at the RIT Service Center portal.  
Life Insurance Evidence of Insurability Form To apply for an increase in life insurance and/or Supplemental Long Term Disability coverage.
Retirement Transition Application/Change Form To request participation in the Retirement Transition Program.  
Retirement Savings Plan Maximum Contribution Election To elect to have RIT calculate your maximum contribution amount each calendar year ("Max Out Club").  You can complete a Service Request for this at the RIT Service Center portal.  
Retirement Savings Plan Information Form for Waiver of One Year Waiting Period For a new RIT employee to request consideration for the waiver of the one (1) year waiting period for the RIT contribution to the RIT Retirement Savings Plan based on your immediate prior higher education employment in a regular full-time position.
Statement of Termination of Domestic Partnership To terminate the Affidavit of Domestic Partnership.  You can complete a Service Request for this at the RIT Service Center portal.  
Tuition Assistance To apply for reimbursement for job-related credit courses you take at accredited colleges and universities and to apply for department funding for Talent Development courses.  You can complete a Service Request for this at the RIT Service Center portal.  
Tuition Exchange Application and Recertification To apply for or recertify eligibility for the Tuition Exchange benefit.  You can complete a Service Request for this at the RIT Service Center portal.  
Tuition Scholarship To apply for reimbursement for undergraduate tuition at other accredited colleges/universities for eligible children.  You can complete a Service Request for this at the RIT Service Center portal.  
Tuition Waiver Form for Regular Employees for ASC and ELC, Adjuncts, and Non-Employees

For regular employees to cover spouse/domestic partner and children for courses taken through the Academic Supports Center and the English Learning Center; for adjunct employees and eligible non-employees (e.g., ROTC) to cover themselves or spouse/domestic partner and children under RIT's Tuition Waiver Program for credit-bearing courses.  

You can complete a Service Request for this at the RIT Service Center portal.  
Tuition Waiver for Family Members of Regular Employees For regular employees to cover spouse/domestic partner and children for credit courses taken at RIT. This process is completed online in Oracle Employee Self-Service at the link called My Family Member Tuition Waiver. Please note that you must have proof of eligibility and proof that a child is your tax dependent for undergraduate courses to be tax-free. Click here for more details.
Tuition Waiver Form for Retirees, LTD Recipients, and Survivors

For retirees, LTD recipients and their eligible family members and for their surviving family members for credit courses taken at RIT.  Please note that you must have proof of eligibility and proof that a child is your tax dependent for undergraduate courses to be tax-free.

You can complete a Service Request for this at the RIT Service Center portal.  

 

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General Employment Forms

Form Name Use
Background Screening Authorization: Adjunct pre-employment and Directors of Programs Involving Minors To grant permission for a full background screening and/or Motor Vehicle Records check to be performed upon offer of employment for all adjunct positions and for all directors of camps and other programs involving minors.  More information can be found here.
Background Screening Authorization: Programs Involving Minors All staff and volunteers (including faculty, staff, and student workers) for RIT-sponsored camps and other programs, events, or activities involving minors are required to complete a background check annually. A list of program staff should be submitted by email to Cara Mulvaney at cmmk12@rit.edu using this format.  More information can be found here.
Background Check: Notice of Rights Under the Fair Credit Reporting Act A summary of your rights under the Fair Credit Reporting Act
Disability-Related Accommodations Request For faculty and staff to request disability-related accommodations in the workplace.
Employee Change of Personal Information To change name, address, phone number, or emergency contact information. Changes to home address, phone number and emergency contacts can also be done on your own via Oracle Self-Serve.
Employee Travel in European Union Information  To provide information on employee travel for RIT business within the European Union 
New Hire Personal Data Form New faculty and staff hires will need to complete this form along with their other new hire paperwork.
New York State LENS Program MVR Form Enrollment into the New York LENS Program.
Staff Performance Appraisal Procedures and Forms To initiate and conduct staff performance appraisals and/or upward appraisal.
Termination Checklist To ensure all necessary actions are completed before and after employee terminates employment.
Transfer Checklist To ensure all necessary actions are completed prior to an employee transferring to a new department within RIT.

 

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Job Evaluation & Position Control Forms

Visit the Position Control Website for additional information on processing position changes (there is no longer a position change form).

 

Form Name Use
Job Description

To be used for all new and existing Positions.

Job Description Instructions
Position Request Form Use this form to request a PC number to be used in an incremental requisition form in Career Zone.

 

 

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Employee Action Forms

Faculty Employee Action Forms

Form Name Use
Faculty – Leave Start To initiate a leave of absence RIT faculty.
Faculty – Leave Return To return to work from a leave of absence.
Faculty – Assignment, Job, or Salary Change To initiate a change transaction on the employee's assignment, job or salary.  Helpful information on the completion of the EAF 
Lecturer – Term Change To change or renew a period of appointment for a Lecturer, Senior Lecturer or Principal Lecturer.
Summer Salary Grants and Contracts – EAF To initiate summer hire action for RIT faculty on grants and contracts only.
Faculty – Termination Departures from RIT must be processed through Oracle self-service either through RIT Supervisor Self Serve or RIT HR Transactions responsibility.
FTE Calculator Excel spreadsheet to be used for calculating employee FTE based upon their standard months, weeks, hours.

 

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Staff Employee Action Forms

Form Name Use
Staff – Leave Start To initiate a leave of absence for RIT staff.
Staff – Leave Return To initiate a return from a leave of absence for RIT staff.
Staff – Assignment, Job, or Salary Change To initiate a change transaction on the employee's assignment, job or salary.  Helpful information on the completion of the EAF
Staff – Termination Departures from RIT must be processed through Oracle self-service either through RIT Supervisor Self Serve or RIT HR Transactions responsibility.
FTE Calculator Excel spreadsheet to be used for calculating employee FTE based upon their standard months, weeks, hours.

 

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Adjunct Forms

Form Name Use
Adjunct Offer Letter - New Adjunct - In Person or Hybrid Instruction Used for adjuncts  who are new to RIT or for adjuncts who have not been paid in the current and prior calendar year.
Adjunct Offer Letter - New Adjunct - Online only Instruction Used for adjuncts  who are new to RIT or for adjuncts who have not been paid in the current and prior calendar year.
Adjunct Offer Letter - Returning Adjunct - In Person or Hybrid Instruction Used for returning adjuncts if they have been paid in the current or immediately prior calendar year.
Adjunct Offer Letter - Returning Adjunct - Online only Instruction Used for returning adjuncts if they have been paid in the current or immediately prior calendar year.
Adjunct Offer Letter - Current Regular Faculty or Staff - In Person or Hybrid Instruction Used when regular faculty or staff are working as adjunct
Adjunct Offer Letter - Current Regular Faculty or Staff - Online only Instruction Used when regular faculty or staff are working as adjunct
Adjunct New Hire To initiate hire action for new Adjunct employees. Exempt Adjunct only.
Adjunct – Termination Adjunct terminations are processed in HR on an annual basis. Contact hreaf@rit.edu if a termination is required outside of this schedule.
Adjunct Non-Exempt Hire/Rehire To initiate a hire or rehire of a non-exempt (hourly) adjunct. Use only for hiring existing RIT non-exempt employees. Refer to instructions on back of form.

 

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Faculty Recruitment-Related Forms

Form Name Use
Faculty Posting Form  

Mid-Search Review & Certification Form

  
Faculty Search Committee Checklist  
Selection Criteria Rating Form (SCRF)  
Faculty Recruitment Plan   

 

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