HR Forms
Canisius College Employment Applications:
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

