Resources

All department forms and documents in one place

This is the SVA resource page – a convenient way to get documents and forms from all SVA departments. The forms are listed below under the department name.

Human Resources

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).


CIGNA Tel-Drug Enrollment

This form can be used by those enrolled in the medical plan who wish to obtain prescriptions through a home delivery program.


Prescription Drug Claim Form

This form can be used by those enrolled in the medical plan for reimbursement of eligible prescription drug claims.


Aetna Dental Enrollment/Change Request

This form can be used, by New York residents, for enrollment in the dental plan or to make changes if you are currently enrolled in the dental plan.


Dental Claim Form

This form can be used by those enrolled in the dental plan for reimbursement of eligible out-of-network expenses.


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

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 administrative staff to enroll in the flexible spending account program. Re-enrollment is required each year 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 for 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.


Premium TransitChek Deduction Authorization Form

Please note: You must first enroll online at www.tams.transitchek.com.


Premium TransitChek Operators

A list of operators who accept TransitChek.