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Canisius College

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HR Forms

Canisius College Employment Applications:

  • Employment Application
  • Faculty Employment Application
  • Internal Employment Application

Government Forms:

  • IRS Form W-4 from the Internal Revenue Service
  • NYS Withholding Allowance Form IT-2104
  • W-5 (Earned Income Credit Advance Payment Certificate) from the Internal Revenue Service
  • I-9 with Instructions Department of Homeland Security Employment Eligibility Verification
  • Understanding Your W-2 Form Wage and Tax Statement

Health Insurance and Benefit Forms:

  • Dental Assistance Claim Form
  • Independent Health Canisius Care Claim Form
  • Tuition Waiver Form - Employee (pg 1)
  • Tuition Waiver Form - Dependent (pg 2)

Retirement:

  • Canisius College Agreement for Salary Reduction Under Section 403(b)
  • Prudential Life & Disability Enrollment/Change Form
  • Optional Life Insurance Costs

Payroll Forms:

  • Direct Deposit Authorization Form
  • Direct Deposit Change Authorization Form

Recruitment Forms:

  • Personnel Requisition

Other Forms:

  • Employee Incident Report
  • Faculty and Staff Gift Form - Canisius Fund
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Canisius College
  • 2001 Main Street, Buffalo NY 14208-1517
  • Phone: (716) 883-7000
  • Fax: (716) 888-2525
  • Email: info@canisius.edu
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