Employee Forms

These frequently used forms are here for your convenience. Please feel free to print out any form you need and complete it.

Payroll Forms
Benefits Forms/Union
Benefits Forms/Non-Union

Payroll and tax forms should be submitted to Denise Amidon.
She can be reached at 315-470-7693.

Life insurance forms should be submitted to Myra Seikaly.
She can be reached at 315-470-7524

Union and non-union disability forms should be submitted to Tracey Tortorello.
She can be reached at 315-470-2986.

Medical and dental forms should be submitted directly to Excellus BlueCrossBlueShield.

Dental forms for union employees should be submitted directly to Lifetime Benefit Solutions (LBS) or Service Employee Benefit Fund (SEBF).

Dental forms for non-union employees should be submitted directly to Lifetime Benefit Solutions (LBS).

Vision forms should be submitted directly to Davis Vision.

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