{"id":392,"date":"2015-06-24T15:51:23","date_gmt":"2015-06-24T19:51:23","guid":{"rendered":"http:\/\/uuphost.org\/buffalo\/?page_id=392"},"modified":"2025-05-19T09:51:52","modified_gmt":"2025-05-19T13:51:52","slug":"benefits-forms","status":"publish","type":"page","link":"http:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/","title":{"rendered":"Benefits &#038; Forms"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Leaves <\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Leaves of Absence \u2013 Employees have a number of options when it comes to Leaves of Absences and as these can get complicated quickly, it\u2019s best that they discuss Leaves with HR professionals.&nbsp;&nbsp; Please see&nbsp;<a href=\"https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.buffalo.edu%2Fadministrative-services%2Ffor-faculty-staff%2Ftime-attendance%2Fleave.html&amp;data=05%7C02%7Cbuffalocenter%40uupmail.org%7Cee36bca8067945cf4eba08dd87186ade%7Ca959c0a16a934834b8ec8087d07cc0e6%7C0%7C0%7C638815261142400867%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=lAZqRd1bMC0ygZzUGbjUipOIIRumvtgrXo7pOf0PGGs%3D&amp;reserved=0\">https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/time-attendance\/leave.html<\/a>&nbsp;for more information.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sick leave\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/1JziX-lhoDOk_5PgLnjy6mHsmSZwoHZM8\/view?usp=sharing\">Medical Documentation for Sick Time<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/1MUL_od9wV5iV5F_tsP7dneUw-77Qs-T8\/view?usp=sharing\">Medical Emergency Assistance Benefit<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Holiday leave\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/1_5JKlPucnK54umZGoEAJBd04N9y1eBLQ\/view?usp=sharing\">Holiday Comp Time<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/1N9NqYjzzyctLjlBNHGHpb3XuI7uStZOQ\/view?usp=sharing\">Comp Time<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SUNY Retirement Plan Options<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/benefits\/state\/uup.retirement.html#retireenroll\">https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/benefits\/state\/uup.retirement.html#retireenroll<\/a><\/li>\n<\/ul>\n\n\n\n<p>New employees should view the&nbsp;<a href=\"https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.suny.edu%2Fmedia%2Fsuny%2Fcontent-assets%2Fdocuments%2Fbenefits%2Fretirement-systems%2FRetirement-Plan-Comparison-Tier-12-24-v3.pdf&amp;data=05%7C02%7Cbuffalocenter%40uupmail.org%7Cee36bca8067945cf4eba08dd87186ade%7Ca959c0a16a934834b8ec8087d07cc0e6%7C0%7C0%7C638815261142417814%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=nhK6HL0Zj%2FkawQwwnIf4VA9AERUOVeiFsUsaqmiFYR8%3D&amp;reserved=0\">Retirement Plan Comparison Chart<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/nam04.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.tiaa.org%2Fsuny-comparison-video&amp;data=05%7C02%7Cbuffalocenter%40uupmail.org%7Cee36bca8067945cf4eba08dd87186ade%7Ca959c0a16a934834b8ec8087d07cc0e6%7C0%7C0%7C638815261142425253%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=4ZH%2FZ3JXgPcdJqxRnULh5LjxGUmqrAKyJcOENr9RflQ%3D&amp;reserved=0\">View the Retirement Plan Comparison Video<\/a>&nbsp;to differentiate options.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Health Insurance Plans Negotiated by UUP<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/benefits\/state\/uup.html\">https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/benefits\/state\/uup.html<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Dependent Care\/Health Care<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/administrative-services\/for-faculty-staff\/benefits\/state\/uup.flex-spend.html\">Flexible Spending Accounts<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Sick Leave Exchange Program (SLEP)<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/17hYaeTI4vSpYFjZD2VJqeBkJECx_H-yW\/view?usp=sharing\">Sick Leave Donation Pool<\/a>&nbsp;Information<\/li>\n\n\n\n<li><a href=\"https:\/\/www.buffalo.edu\/content\/www\/administrative-services\/forms-catalog\/forms-pw\/vacation-leave-donation-request.html\">Vacation Donation Form<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Group Long-Term Disability Insurance Program<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Group-Long-Term-Disability-Insurance-Program-Form.pdf\">Group Long Term Disability Insurance Program Form<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.suny.edu\/insurance\/ltd\/\">Other resources<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Professional Liability Insurance<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Public-Officers-Law.pdf\">Public Officers Law<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Survivor\u2019s Benefit Program<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.suny.edu\/benefits\/survivors\/\">Survivor Benefit Program<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Staff Relocation Expenses<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Moving-Expense-Reimbursement-State.pdf\">Moving Expense Reimbursement State<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Reimbursement-Advanced-Payment-Form.pdf\">Reimbursement Advanced Payment Form<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Employee Assistance Program (EAP)<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/administrative-services\/employee-assistance.html\">UB&#8217;s Employee Assistance Program<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Employees Federated Appeal (SEFA)<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.buffalo.edu\/ubcares\/sefa.html\">State Employees Federated Appeal<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Direct Deposit<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/administrative-services\/forms-catalog\/hr\/state-direct-deposit-enrollment-request.html\">Direct Deposit Information<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mortonlanedirect.com\/\">Credit Union &#8211; Morton Lane<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Tuition Waiver\/Reimbursement <\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/drive.google.com\/file\/d\/1njuOaeKesQabGOSymSXeT8R2mNT8k5GB\/view\">Tuition Waiver Information<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Use of Campus Facilities<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Use-of-Athletics-Facilities.pdf\">Use of Athletics Facilities<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/spacerequest.buffalo.edu\/evntwebapp\/\">UB Space Request System<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Immigration\/Citizenship Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.buffalo.edu\/federal-transition.html\">UB\u2019s Updates, Campus Resources and Guidance Regarding New Federal Policies and Actions<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/arts-sciences.buffalo.edu\/faculty-staff\/faculty-staff-resources\/FAQs-and-Guidance-on-Federal-Policies.html\">College of Arts and Sciences FAQs and Guidance on Federal Policies<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.immigrationadvocates.org\/nonprofit\/legaldirectory\/\">National Immigration Legal Services Directory<\/a><\/li>\n<\/ul>\n\n\n\n<p>Office for New Americans Program at Journey&#8217;s End<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Western&nbsp;New&nbsp;York<\/strong>&nbsp;(serving Niagara, Erie, Chautauqua, Cattaraugus, &amp; Allegany counties)&nbsp;(716) 882-4963 x 203<br><br>Vive (Jericho Road) &#8211; (716) 892-4354&nbsp;x 604<br><\/li>\n\n\n\n<li><strong>Southern Tier<\/strong>&nbsp;(serving Steuben, Schuyler, Tompkins, Tioga, Broome, Chenango, Delaware, &amp; Chemung counties) (716) 364-8386<br><\/li>\n\n\n\n<li><strong>Finger Lakes<\/strong>&nbsp;(serving Orleans, Genesee, Wyoming, Livingston, Monroe, Ontario, Seneca, Yates,&nbsp;and&nbsp;Wayne counties) (716) 435-8959<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Forms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/uuphost.org\/myuup\/Membership\/RegForm.php\">Membership Application<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/uuphost.org\/myuup\/benefits\/forms\/btfenrollment\/Register.php\">Benefit Trust Fund Enrollment Card<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Change-of-Address-Form.pdf\">Change of Address Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Change-of-Marital-or-Depependent-Status-Form.pdf\">Change of Marital or Dependent Status Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Employee-Organization-Leave-Form.pdf\">Employee Organization Leave Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Group-Long-Term-Disability-Insurance-Program-Form.pdf\">Group Long Term Disability Insurance Program Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/HIPAA-Form.pdf\">HIPAA Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Moving-Expense-Reimbursement-State.pdf\">Moving Expense Reimbursement State<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/NYS-Health-Insurance-Transaction-Form.pdf\">NYS Health Insurance Transaction Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Reimbursement-Advanced-Payment-Form.pdf\">Reimbursement Advanced Payment Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/State-Direct-Deposit-Form.pdf\">State Direct Deposit Form<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/State-Health-Insurance-Application.pdf\">State Health Insurance Application<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Survivor-Benefit-Program-Application.pdf\">Survivor Benefit Program Application<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/TIAA-Enrollment-Application.pdf\">TIAA Enrollment Application<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/UUP-Group-Life-Insurance-Beneficiary-Card.pdf\">UUP Group Life Insurance Beneficiary Card<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/uuphost.org\/buffalo\/wp-content\/uploads\/2015\/06\/Vacation-Donation-Form.pdf\">Vacation Donation Form<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Leaves SUNY Retirement Plan Options New employees should view the&nbsp;Retirement Plan Comparison Chart&nbsp;and&nbsp;View the Retirement Plan Comparison Video&nbsp;to differentiate options. Health Insurance Plans Negotiated by UUP Dependent Care\/Health Care Sick Leave Exchange Program (SLEP) Group Long-Term Disability Insurance Program Professional Liability Insurance Survivor\u2019s Benefit Program Staff Relocation Expenses Employee Assistance Program (EAP) Employees Federated Appeal [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":41,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-392","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v14.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Benefits &amp; Forms - UUP Buffalo Center<\/title>\n<meta name=\"robots\" content=\"index, follow\" \/>\n<meta name=\"googlebot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta name=\"bingbot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Benefits &amp; Forms - UUP Buffalo Center\" \/>\n<meta property=\"og:description\" content=\"Leaves SUNY Retirement Plan Options New employees should view the&nbsp;Retirement Plan Comparison Chart&nbsp;and&nbsp;View the Retirement Plan Comparison Video&nbsp;to differentiate options. Health Insurance Plans Negotiated by UUP Dependent Care\/Health Care Sick Leave Exchange Program (SLEP) Group Long-Term Disability Insurance Program Professional Liability Insurance Survivor\u2019s Benefit Program Staff Relocation Expenses Employee Assistance Program (EAP) Employees Federated Appeal [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/\" \/>\n<meta property=\"og:site_name\" content=\"UUP Buffalo Center\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-19T13:51:52+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"http:\/\/uuphost.org\/buffalo\/#website\",\"url\":\"http:\/\/uuphost.org\/buffalo\/\",\"name\":\"UUP Buffalo Center\",\"description\":\"The union that makes SUNY work!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"http:\/\/uuphost.org\/buffalo\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/#webpage\",\"url\":\"https:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/\",\"name\":\"Benefits & Forms - UUP Buffalo Center\",\"isPartOf\":{\"@id\":\"http:\/\/uuphost.org\/buffalo\/#website\"},\"datePublished\":\"2015-06-24T19:51:23+00:00\",\"dateModified\":\"2025-05-19T13:51:52+00:00\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/uuphost.org\/buffalo\/resources\/benefits-forms\/\"]}]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","_links":{"self":[{"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/pages\/392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/comments?post=392"}],"version-history":[{"count":55,"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/pages\/392\/revisions"}],"predecessor-version":[{"id":7441,"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/pages\/392\/revisions\/7441"}],"up":[{"embeddable":true,"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/pages\/41"}],"wp:attachment":[{"href":"http:\/\/uuphost.org\/buffalo\/wp-json\/wp\/v2\/media?parent=392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}