Medical Enrollment Form
This form can be used for enrollment in the medical plan or to make changes if you are currently enrolled in the medical plan.
Medical Claim Form
This form can be used by those enrolled in the medical plan for reimbursement of eligible out-of-network expenses (excluding prescription claims).
Express Scripts Order Form (coming soon)
This form can be used by those enrolled in the medical plan who wish to obtain prescriptions through a home delivery program.
Vision Plan Enrollment Form
This form can be used for enrollment in the vision plan or to make changes.
Vision Plan Summary
Summary of administrative VSP benefits.
Tuition Waiver Benefit for Faculty
Guidelines for Faculty members interested in taking Continuing Education courses or enrolling in Undergraduate and Graduate classes at SVA.
Tuition Waiver Benefit for Admin Employees
Guidelines for Administrative Staff interested in taking Continuing Education courses or enrolling in Undergraduate and Graduate classes at SVA.
Tuition Assistance Plan for Admin Staff (coming soon)
Guidelines for Administrative Staff interested in furthering their education at an accredited college or university other than SVA to encourage growth in their current position.
Tuition Waiver Benefit for Arts Abroad Programs
Guidelines for Administrative Staff and Faculty interested in the SVA Arts Abroad programs.
Tuition Assistance Application for Admin Staff
Completed by Administrative Staff interested in furthering their education at an accredited college or university other than SVA.
Click here to download the MS-Word Version of this application.
Tuition Waiver for Continuing Education Courses
This form can be used by administrative staff and faculty to enroll in continuing education courses.
Human Resources Action Form
Completed by managers to request a replacement, add-to-staff, temporary employee, change an employee’s position, salary or status, when employees separate from the organization.
Appraisal Form
Completed by managers on an annual basis to appraise an employee’s performance.
Probationary Appraisal Form
Completed by managers before an employee completes 3 months.
Flexible Spending & Health Savings Account Enrollment Form
This form can be used by new administrative staff or active employees newly enrolling in the flexible spending account program. Re-enrollment is required each year during open enrollment, via the online portal regardless of prior participation.
Flexible Spending Reimbursement Form
Administrative staff may use this form to submit claims for eligible health and/or dependent care expenses.
Declaration of Domestic Partnership Form
This form, which must be notarized, can be used to declare a domestic partnership for benefit purposes.
401(k) Beneficiary Form
A form to declare your beneficiary of your 401(k) benefits.
Life Insurance Beneficiary Form
Declare your beneficiary for your life insurance by filling out this form.
Payroll Direct Deposit
Completed by employees who wish to enroll in direct deposit for paychecks.
Time Sheet for Part-Time Staff
Completed by part-time employees to record hours worked.
W-4 Tax Form
Completed by employees to elect federal withholding allowances.
IT-2104 Tax Form
Completed by employees to elect City and State withholding allowances.
I-9 Employee Eligibility Verification
Completed by Human Resources or managers and employees on the first day of employment to verify eligibility to work in the U.S.
Confidential Employee Information
Completed by new employees giving general information. Also completed by current employees who wish to change name, address, phone, marital status and/or emergency contact.