Graphic of HR web address and office of human resources http://humanresources.binghamton.edu
Photo of a building on campus on a sunny day
 HR Home link which takes you back to the HR main webpage
Photo of a building on campus on a sunny day
 HR Home Contacts link which contains the office of Human Resources main fax & phone numbers
Photo of a building on campus on a sunny day
 Site Search Graphic link with contains a search engine that searches HR and BU webpages for files and other information
Photo of a building on campus on a sunny day
Location graphic link which contains directions to the BU campus and information as to HR office location STAR Award graphic link which contains information about the star award Binghamton University graphic link that takes you to Binghamton University main page Employment Verification graphic link which contains information about procedures for employment verification
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Adobe Acrobat Reader may be required to view or print the PDF forms.Get Acrobat Reader Picture & Link to adobe.com
Benefit Forms
Accident or injury reporting form  
 
COBRA application request form  
CSEA dental claim form  
CSEA full time student verification  
CSEA prescription drug co pay reimbursement  
Confidential Medical Statement Form  
Confidential Medical Statement (Work Related)  
 
Domestic Partner Application for Benefits  
Domestic Partner Dependent Tax Affidavit  
Domestic Partner Instructions  
 
Medco Plan Mail In Prescription Request  
Empire Plan Non-participating provider claim  
Empire Plan Prescription reimbursement claim  
ERS Address Change  
ERS Beneficiary Designation  
ERS Loan Application Tiers 1 & 2  
ERS Loan Application Tiers 3 & 4  
ERS Membership Application  
ERS Name Change  
EyeMed full time student verification (MC,PEF,C82,NYSCOPBA)  
GHI Dental Claim Form (GSEU, MC,PEF,C82,NYSCOPBA)  
GHI full time student verification  
GSEU Health Insurance enrollment PS404G  
GSEU Instructions for completing Health Insurance enrollment PS404G  
 
Health Insurance Transaction Instructions for PS404 (Faculty/Staff)  
Health Insurance Transaction PS404 (Faculty/Staff)  
Leave Donation Program  
 
Salary Reduction Agreement  
Space Available Instructions and Application  
TRS Beneficiary Designation  
TRS Loan Application  
TRS Membership Application  
TRS Name/Address change  
Tuition Waiver Program Instructions and Application  
 
 
UUP BF address change  
UUP BF scholarship application  
UUP dental claim form (CIGNA) effective until 3/31/08  
UUP dental claim form (Delta) effective 4/1/08  
UUP full time student verification  
UUP Group Life Beneficiary card  
UUP Laser vision reimbursement claim