Forms
HR/Payroll Office Form Submission Rules |
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| HR/PAYROLL OFFICE HOURS OF OPERATION | ||
| Mon & Tues | 9:30am – 1:30pm | 2:30pm – 5:30pm |
| Thur & Fri | 9:30am – 1:30pm | 2:30pm – 5:30pm |
| Wed, Sat, Sun | Office is Closed | |
View and Download the Employee Handbook
View and Download the Faculty Handbook
| NYC Mandatory Paid SAFE and SICK Leave Notice for NYC Employees (English) (Please contact HR if you need this notice in other languages) ASA College SAFE and SICK Leave policy for NY employees only |
| NEW YORK STATE PAID FAMILY LEAVE(PFL): |
| ASA COLLEGE PAID FAMILY LEAVE OVERVIEW |
| ASA COLLEGE PAID FAMILY LEAVE POLICY & PROCESS |
| PAID FAMILY LEAVE Employee Fact Sheet |
| NYC Temporary Schedule Change Law: |
| You Have a Right to Temporary Changes to Your Work Schedule |
| Temporary Schedule Change Law: Frequently Asked Questions |
| Temporary Schedule Change Law: OVERVIEW |
COVID-19 FORMS
WEEKLY COVID-19 SYMPTOMS SCREENING ATTESTATION FORM FOR ASA EMPLOYEES
EMPLOYMENT APPLICATION AND REQUIRED FORMS
NEW EMPLOYEE HIRE CHECKLIST
ADMISSION CODE OF ETHICS AGREEMENT
APPLICANT INFORMATION RELEASE
APPLICATION FOR EMPLOYMENT
ARBITRATION PROGRAM AGREEMENT
POLICY ON PROHIBITION OF INCENTIVE COMPENSATION UNDER THE DOE PROGRAM INTEGRITY RULES
(Must sign prior to employment for: Admission and Financial Aid dept. employees only)
CIE PERSONNEL FORM — REQUIRED FOR FLORIDA STAFF ONLY
DIRECT DEPOSIT (CHECKING, SAVING) AUTHORIZATION
PAY CARD DEPOSIT AUTHORIZATION
DRUG AND ALCOHOL WORKPLACE FREE POLICY SIGN-OFF
DRUG TESTING SIGN-OFF
DEPENDENT INFORMATION FORM
EMPLOYEE EDUCATIONAL CREDENTIALS DATA SHEET
EMPLOYEE EMERGENCY CONTACT INFORMATION
EMPLOYEE HIRE / REHIRE CONFIRMATION
EMPLOYEE NON-COMPETE AGREEMENT FLORIDA
EMPLOYEE NON-COMPETE AGREEMENT NEW YORK
EMPLOYEE SELF IDENTIFICATION FORM
EMPLOYMENT AGREEMENT SCHEDULE
EMPLOYMENT INFORMATION RECEIPT SIGN-OFF
FOLLOW ME CALLING FORM
ACKNOWLEDGMENT OF RECEIPT (NY SAFE and SICK LEAVE)
IT DEPARTMENT REQUEST
W-4
POLICY ON BUSINESS SENSITIVE COMPUTER INFO
I-9 EMPLOYMENT ELIGIBILITY VERIFICATION
I-9 FORM
I-9 FORM PAPER VERSION (This version is unfillable and must be printed for completion on paper only)
I-9 FORM ACCEPTABLE DOCUMENTS
EMPLOYEE INFORMATION AND EMPLOYMENT STATUS CHANGE FORMS
EMPLOYEE INFORMATION CHANGE REQUEST
EMPLOYEE REFERENCE RELEASE AGREEMENT
HR AND PAYROLL EMPLOYMENT STATUS CHANGE
HR AND PAYROLL EMPLOYMENT STATUS CHANGE–FACULTY ONLY
SEPARATION AND RELEASE AGREEMENT
MEDICAL INSURANCE ACCEPTANCE / DECLINATION FORMS
DENTAL AND VISION INSURANCE DECLINATION FORM
HEALTH INSURANCE ACCEPTANCE FORM (FTE)
HEALTH INSURANCE ACCEPTANCE FORM (FT)
HEALTH INSURANCE DECLINATION FORM (FTE)
HEALTH INSURANCE DECLINATION FORM (FT)
VOLUNTARY GUARDIAN BENEFITS
LEAVE REQUEST FORMS
FT EMPLOYEE LEAVE REQUEST – ALL CAMPUSES
PT & FTE EMPLOYEE LEAVE REQUEST – FLORIDA CAMPUS
PT & FTE EMPLOYEE LEAVE REQUEST – NEW YORK CAMPUS
WAGE ADVANCE and AUTHORIZATION OF PAYROLL DEDUCTION
FMLA LEAVE REQUEST FORMS
FAMILY AND MEDICAL LEAVE ACT REQUEST (FMLA)
NOTICE OF ELIGIBILITY AND RIGHTS & RESPONSIBILITIES (FAMILY AND MEDICAL LEAVE ACT)
SHORT TERM DISABILITY CLAIM FORM
HIPAA PRIVACY RULE
FORM WH-380-F CERTIFICATION OF HEALTH CARE PROVIDER FOR FAMILY MEMBER’S SERIOUS HEALTH CONDITION
FORM WH-380-E CERTIFICATION OF HEALTH CARE PROVIDER FOR EMPLOYEE’S SERIOUS HEALTH CONDITION
NEW YORK STATE PAID FAMILY LEAVE(PFL) INSTRUCTIONS and FORMS:
Applying for NY PFL and Contact Information
INSTRUCTIONs – APPLYING FOR PAID FAMILY LEAVE
Paid Family Leave Process and Contacts
PFL INSTRUCTIONS AND FORMS
PFL-1 Request For Paid Family Leave
Instructions-FormPFL-1-Request For Paid Family Leave
Form PFL-1 – Request For Paid Family Leave
PFL-2- Bonding Certification
Instructions – Form PFL-2 – Bonding Certification
Form PFL-2 – Bonding Certification
PFL-3- Release of Personal Health Information
Instructions – Form PFL-3 – Release Of Personal Health Information
Form PFL-3 – Release Of Personal Health Information
PFL-4- Health Care Provider Certification For Care of Family Member
Instructions – Form PFL-4 – Health Care Provider Certification For Care Of Family Member
Form PFL-4 – Health Care Provider Cert for Family Member
PFL-5- for Military Qualifying Event
Instructions – Form PFL-5 – for Military Qualifying Event
Form PFL-5 – Military Qualifying Event
PENSION / 401K FORMS
2020 401(K) SUMMARY OF PLAN
PENSION BENEFICIARY DESIGNATION OF PLAN PARTICIPANT FORM
PENSION BENEFIT REQUEST ENROLLMENT FORM
PENSION BENEFIT REQUEST TERMINATION FORM
PENSION BENEFIT REQUEST PARTIAL TERMINATION FORM
PENSION REQUEST FOR IN-SERVICE OR HARDSHIP REQUEST FORM
PENSION REQUESTFOR LOAN PROCESSING FORM
PENSION SALARY DEFERRAL ELECTION FORM
PRE-RETIREMENT DEATH BENEFIT ELECTION FORM
REQUIRED MINIMUM DISTRIBUTION (RMD) ELECTION
EMPLOYEE INFORMATION CHANGE FORM
OTHER HR / PAYROLL FORMS
REMOTE ACCESS REQUEST
EQUIPMENT ASSIGNMENT AGREEMENT
EQUIPMENT RETURN REQUEST
DISABILITY CLAIM FORM
EMPLOYEE AUTHORIZATION OF PICTURE ID FORM
EMPLOYEE DISCIPLINARY REPORT
EMPLOYEE REQUISITION FORM
HR-AUTHORIZATION FOR PAYROLL DEDUCTION FORM
HR-FAX FORM
INTERVIEW/TRAINING DISCLOSURE FORM
NYC COMMUTER BENEFITES ENROLLMENT/WAIVER FORM
FLEX SPENDING ACCT PLAN FORM
ADMINISTRATIVE/CLERICAL PERFORMANCE APPRAISAL FORM
FACULTY PERFORMANCE APPRAISAL FORM
PHOTO/VIDEO USE CONSENT FORM
TUITION REIMBURSEMENT REQUEST/COMPUTATION FORMADA: REQUEST FOR REASONABLE ACCOMMODATION FORM
ASSAULT, INCIDENT, COMPLAINT FORMS
SUMMARY OF INCIDENT OR COMPLAINT FORM
SEXUAL MISCONDUCT FORM
TRAVEL FORMS
ASA VEHICLE TRIP LOG
AUTO ACCIDENT REPORT
DRIVER ACKNOWLEDGEMENT FORM
DRIVER AGREEMENT
MOTORVEHICLE RECORD DISCLOSURE AND RELEASE
MOTORVEHICLE USE POLICY
VEHICLE MAINTENANCE CHECKLIST
VOLUNTEER / MISC
DEFINITION OF VOLUNTEER INTERNSHIP AND UNPAID INTERNSHIP
IT DEPARTMENT REQUEST FORM FOR A VOLUNTEER
VOLUNTEER INTERNSHIP ACTIVITIES
VOLUNTEER INTERNSHIP APPLICATION & WAIVER
VOLUNTEER / ATHLETIC DEPARTMENT
VOLUNTEER COACHES CONTRACT – NEW YORK CAMPUS
VOLUNTEER COACHES CONTRACT – MIAMI CAMPUS