Forms For New Hires
Congratulations on becoming a new employee of Pace University! Please submit below completed forms to your campus HR office listed below on or before your start date. Your I.D. and systems access will only be effective once the forms are received and processed.
|Westchester Campus Employees||New York Campus Employees|
|100 Summit Lake Drive, 3rd Floor
Valhalla, NY 10595
|156 William Street, 5th floor
New York, NY 10038
International Students are encouraged to call their campus HR office to schedule an appointment to review their new hire forms.
Employment Forms for New Hires
Personal Data Form (PDF)
Complete to notify Human Resources of name, address, telephone, and other personal information.
Employment Eligibility Verification I-9 Form (PDF)
Complete when filling out new hire paperwork. Documents requested on this form must be brought into our Human Resources Office. This form must be completed by the new employee on or before their first day of work.
Employers must complete Section 2 by examining evidence of identity and employment eligibility within three(3) business days of the date employment begins.
Veteran and Disability Survey (PDF)
Complete the following form to provide information regarding your Veteran and disability status.
Direct Deposit Self-Service (PDF)
Complete to deposit your pay automatically. Required for staff & faculty. Students may have payroll deposited to onecard, please visit paceuone.com for instructions.
Form W-4 (PDF)
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Complete to either withhold federal taxes or claim exemption, providing employee meets criteria for exemption.Consider completing a new Form W-4 each year and when your personal or financial situation changes.
Human Resources Policy Acknowledgements (DOC)
Complete to acknowledge that you are responsible for reading the contents and becoming familiar with the policies and procedures of the University. The policies include: Employee Handbook, IT Appropriate Use Policy, Admin System User Statement, Policy on Alcohol and Drug Abuse and Drug Free Environment, and the Policy on Sexual Harassment.
IT-2104 - Employee's Withholding Allowance Certificate and Instructions (NYS) (PDF)
Complete to withhold New York State taxes, if you are working within New York state
IT-2104-1 Certificate of Nonresidence & Allocation of Withholding (PDF)
Complete to claim Nonresidence & Allocation of Withholding
IT-2104-E Certificate of Exemption from Withholding (PDF)
Complete to claim exemption from withholding for New York State personal income tax
8233 - Exemption From Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual (PDF)
Complete only if a non-resident alien is claiming exemption from taxes based upon their country's treaty with the US. Required for international students and faculty on work visa.
Benefits Forms for New Employee Orientation
Fax completed forms to (914) 989-8506 or Scan/E-Mail to firstname.lastname@example.org
New Hire Benefits Checklist (PDF)
Please return this completed checklist, together with the forms listed below, to the University Benefits office within 31 days of your full-time date of hire.
Benefits Enrollment Form (PDF)
Please use this form to select a medical/vision plan and coverage level (including vision only and/or medical plan waiver), dental plan and coverage level, Flexible Spending Accounts (health care and child/dependent care), Health Savings Account (only if enrolling in the HDHP/HSA plan), and voluntary life insurance. Please return this completed form within 31 days of your full-time date of hire.
403(b) Retirement Plan University Contribution Eligibility Acknowledgement (PDF)
Please complete this form to confirm your understanding of the age and years of service requirement to receive the University contribution to your 403(b) Retirement Plan. Please return this form within 31 days of your full-time date of hire.
403(b) Retirement Plan – Waiting Period Waiver (PDF)
If applicable, please complete Section A of this form and submit to your previous employer for completion of Section B. Please have your previous employer return the form to you for submission to the University Benefits office. You will be notified if you are eligible to waive the waiting period to receive the University contribution of 9% (which is contingent upon your required 3% contribution) to the 403(b) Retirement Plan.
2017 Defined Contribution Retirement Plan (403b) Salary Agreement Form (PDF)
Please complete this form to enroll in the plan or to change your contribution for 2017. (Instructions, for online web enrollment with TIAA, are included at the bottom of the form.) The IRS maximum contribution for 2017 is $18,000 (plus an additional $6,000 for those aged 50+ in calendar year 2017). Please fax the completed form to the University Benefits office at (914) 989-8506 or e-mail to email@example.com.
Group Term Life Insurance (Enrollment) Form (PDF)
Please complete this form to elect Voluntary life insurance coverage and/or Dependent life insurance coverage. Voluntary life insurance, in excess of $400,000, must have underwriting approval by the carrier. Please complete Page 2, Evidence of Insurability, if you are requesting Voluntary life insurance in excess of $400,000. Please return this form within 31 days of your full-time date of hire.
Life Insurance Beneficiary Designation Form (PDF)
Please complete this form to designate a beneficiary (or beneficiaries) for your Basic and Voluntary, if applicable, life insurance coverage. Please be sure to include the percentage of benefit for each beneficiary listed. You may change your beneficiaries, at any time, by submitting an updated form. Please return this form within 31 days of your full-time date of hire.
2017 Commuter Enrollment/Change Form (PDF)
Complete this form to enroll and/or make changes to the transit or parking reimbursement accounts. Your election will roll over from calendar year to calendar year, unless you make a change. Fax to 914-989-8506 or e-mail to firstname.lastname@example.org.
Long-Term Disability Plan – Waiting Period Waiver (PDF)
If applicable, please complete Section A of this form and submit to your previous employer for completion of Section B. Please have your previous employer return the form to you for submission to the University Benefits office. You will be notified if you are eligible to waive the one-year waiting period to enroll in the Long-Term Disability Plan.
Long Term Care - Benefit Election Form (PDF)
Although an employee may apply for Long Term Care insurance at any time during the plan year, the Evidence of Insurability requirement is waived, for the employee only, if he/she enrolls within the initial 31-day eligibility period (unless an option of $7,000, $8,000 or Unlimited Duration coverage is elected). Please access http://unuminfo.com/pace/index.aspx for further information.
Long Term Care - Evidence of Insurability (PDF)
Evidence of Insurability is required of an employee if he/she enrolls after the 31-day initial enrollment period or chooses to purchase $7,000, $8,000, or Unlimited Duration coverage. Evidence of Insurability is required for all family members. Evidence of Insurability requires carrier underwriting approval. Please access http://unuminfo.com/pace/index.aspx for further information.
Benefits Eligibility Acknowledgement (PDF)
Please complete this form to confirm your understanding of the 31-day initial enrollment period for medical, dental, life insurance, and Flexible Spending Account or Health Savings Account (HSA) participation. Your signature on this form also verifies that you have reviewed the New Employee Orientation narrated presentation online and have contacted the University Benefits office if any information is unclear. Please return this form within 31 days of your full-time date of hire.