Human Resources Forms Library

Accident Report

Employees must report any work-related injury, no matter how minor, immediately to their supervisors and complete an Accident Report. Supervisors must report the injury to the Office of Human Resources Management via email at [email protected].

Changes to Personal Data

Please complete the Employee Personal Change Form.

Taxes and Direct Deposit

Tax and Direct Deposit forms can be submitted to Payroll Services at [email protected].

• W-4 Federal Tax Form
• IT-2104 New York State Tax Form
• IT-2104.1 New York State, City of New York, and City of Yonkers Certificate of Nonresidence and Allocation of Withholding Tax
• IT-2104E New York State Tax Form
• Direct Deposit Form

Paid Family Leave Waiver

• Paid Family Leave Waiver

Payment Request Form for Existing Employees

• Employee Action Form

Referral Application

• Clerical/Maintenance Referral Application

Medical Forms

• Continuation of Care
• UnitedHealthcare Out-of-Network Claim Form
• 2024 Medical Plan Legal Notices
• 2024 Fordham BRONZE Plan Enrollment Form
• 2024 Fordham University Choice Plus Bronze Plan with Rx
• 2024 Fordham University Guide_Out of Network
• 2024 Fordham University Guide for Faculty/Admin

Medicare Advantage

• Medicare Advantage Plan

Hiring Forms

• I-9 Employment Eligibility Verification Form
• I-9 Employment Eligibility Verification Form (fillable)
• I-9 Instructions
• W-4 Federal Tax Form
• IT-2104 New York State Tax Form
• IT-2104.1 New York State, City of New York, and City of Yonkers Certificate of Nonresidence and Allocation of Withholding Tax
• IT-2104E New York State Tax Form
• Direct Deposit Form
• Prior Service Verification Letter - Retirement
• Opt-Out Credit Information Flyer

Guest Access

• Guest Access Form

Pre-Hiring Forms

• Notification of Maintenance Vacancy
• Notification of Position Vacancy (Administrative and Clerical Positions)
• Employment Application
• Request Employment Advertisement
• Request Temporary Office Worker

Wage Theft Prevention Act Forms

• Notice for Employees Paid a Weekly Rate or Salary for a Fixed Number of Hours
• Notice for Employees Paid Salary for Flat Rate or Other Non-Hourly Pay
• Notice for Exempt Employees
• Notice for Hourly Rate Employees

Performance Forms

• Employee Introductory Form
• Employee Probation Form
• Appraisal Form for Administrators
• Appraisal Form for Clerical & Maintenance

Independent Contractor Determination

• Fordham University Independent Contractor Agreement
• Independent Contractor Questionnaire
• Independent Contractor Policy and Procedure
• Form W-9 Request for Taxpayer Identification Number and Certification

Payment Request Forms for Existing Employees

• Fillable Employee Action Form