Forms For New Hires
Congratulations on becoming a new employee of Pace University! All new employees are required to complete their new-hire paperwork and Employment Eligibility Verification Form I-9 on or before their first day of work. Please note you will be receiving an email message from Pace University with the subject line including the phrase, “TalentEd Records,” which will provide a link to our online electronic paperwork system. Once all new hire paperwork has been submitted, please visit the Human Resources office either before or on your start date to provide original identification to complete the new hire process. You will also be asked to submit your completed tax forms. Links to these forms are listed below. We have copies of all forms located at each HR office location:
|Westchester Campus Employees||New York Campus Employees|
|100 Summit Lake Drive, 3rd Floor
Valhalla, NY 10595
|110 William Street, 11th 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 Tax Forms for New Hires
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.
2018 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 2018 is $18,500 (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.
2018 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.