Forms

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.


Express Scripts Instructions and Mobile App

Instructions on how to obtain prescriptions through a home delivery program and accessing the mobile app.


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.


 

Flexible Spending & Health Savings Account Enrollment Form

This form can be used by new administrative staff enrolling in flexible spending or health savings account programs. Re-enrollment is required each year during open enrollment, via the online portal regardless of prior participation.


Declaration of Domestic Partnership Form

This form, which must be notarized, can be used to declare a domestic partnership for benefit purposes.


 

 

Life Insurance Beneficiary Form

Declare your beneficiary for your life insurance by filling out this form.


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.


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 

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 the link above to download the application. A formal request must accompany the application outlining why furthering your education would benefit your current position or growth within the college.


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, or change an employee’s position, salary or status, when employees separate from the organization.


Annual Appraisal Form

Completed by managers on an annual basis to appraise an employee’s performance on their anniversary or promotion date.


Probationary Appraisal Form

Completed by managers before an employee completes 3 months.


 

Payroll Direct Deposit

Completed by employees who wish to enroll in direct deposit for paychecks.


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.