HR : Faculty and Staff - Policies & Contracts

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Cornell University Division of Human Resources

Benefit Forms

The forms below are available in printable format.

Endowed Health and Dental Insurance
Contract College Health and Dental Insurance
Educational Benefits
Retirement
Select Benefits
Life Insurance

Personal Accident Insurance
Personal Accident Insurance Enrollment Form and How to Calculate Per Pay Deductions (PDF)

Cornell University Accident Report
Cornell University Child Care Grant Subsidy Program Applications, Guidelines and Information
Family Medical Leave Forms: FMLA Confirmation Form (Supervisor)
Welcome to Cornell

Additional benefits forms may be obtained by contacting Benefit Services, 255-3936, or e-mail benefits@cornell.edu.

For more information on Cornell's benefit programs, refer to our benefits pages.

More Information

University Policy Page

Cornell University is an equal opportunity, affirmative action educator and employer. This web resource is designed to enhance access to and understanding of Cornell's benefits, services, and human resource policies. This resource is not intended to create a contract between Cornell University and its employees or any other persons. Cornell University reserves the right to amend or revoke its policies at any time without notice (see full Disclaimer). Cornell University. All rights reserved.