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New Employee Forms and Publications

Have you accepted a position at the NYS Department of Labor? Congratulations! We look forward to having you on our team.

As a new employee, you must complete a variety of forms no later than your first day of employment.

To help save you time, we are providing you with a number of these forms at the links below. The "Description/Purpose" column lists who should fill out each form. If you are able, please complete the forms that apply to you, print them out, and bring them with you on your first day of work. (There are other forms, not listed here, which you must complete in person.) If you cannot complete these forms in advance, you will be required to complete them your first day on the job.

Please do not mail, fax or email the forms to us. Bring them with you on your first day of work.

New employees are required to read certain documents and should visit specific websites for helpful information. For your convenience, we are providing links to them in the section beneath the forms. You do not have to print the documents or the website material.

If you have any questions, please email the Personnel Office at [email protected].

New Employee Forms (bring with you on your first day of work)
Document Description/Purpose Pages Download
Employment Application, Part 1 – Pre-Interview (S 1000.1)

For: All new employees

3 Download
Direct Deposit Form for NYS Employees (AC 2772)

For: New employees who want to be paid via direct deposit instead of by paper paycheck

This form is used for enrollment, changes, and cancellations to direct deposit.

Also see the "Direct Deposit and You" FAQs

2 Download
Oath of Office (DOS 1690-f-1)

For: All new employees

This document requires your original signature in ink, on both the State Employee Statement in Lieu of Oath and the Public Officer's Law §78 Certificate.

1 Download
Rules for Handling Claims and Serving Customers and Employers (GA 40)

For: All new employees, except those who are accepting a position in a Telephone Claims Center

2 Download
Telephone Claims Center Rules for Handling Claims and Serving Claimants and Employers (GA 40.1)

For: New employees who are accepting a position in a Telephone Claims Center

2 Download
Rules for Accounting Trainees and Employees in the UI Tax Auditor Series and Data Processing Fiscal Systems Auditors (GA 40.2)

For: New employees who are accepting a position as an Auditor Trainee, Senior Auditor in the U.I. Tax Auditor series, U.I. Tax Auditor, or Data Processing Fiscal Systems Auditor

1 Download
Acknowledgement of Providing Driver License for Use of State Vehicle (GA 73.pdf)

For: All new employees

1 Download
Request for Assistance During Emergencies (GA 301)

For: All employees who may need assistance evacuating the workplace during an emergency.

2 Download
Employment Eligibility Verification (Department of Homeland Security) (I-9)

For: All new employees

Employees should read the instructions on pages 1-6. Then, complete the form on page 7. The Department of Labor will complete the form upon reviewing and verifying the required documentation.

9 Download
Employee's Withholding Allowance Certificate (IT-2104)

For: All new employees

This document requires your original signature in ink.

7 Download
New York State, City of New York, and City of Yonkers Certificate of Non-residence and Allocation of Withholding Tax (IT-2104.1)

For: Non-residents of New York State; also for non-residents of the City of New York and Yonkers who work in those locations

This document requires your original signature in ink.

2 Download
Certificate of Exemption from Withholding (IT-2104-E)

For: Employees who meet the conditions to claim exemption from withholding for New York State personal income tax (and New York City and Yonkers personal income tax, if applicable)

This document requires your original signature in ink.

2 Download
CSEA Membership Application and Dues Payroll Deduction Authorization (CSEA)

For: CSEA-represented employees

The form can be mailed to the address on top of the form or faxed to 518-465-2382.

1 Download
PEF Membership Application and Dues Payroll Deduction Authorization (PR 1422)

For: PEF-represented employees

Signed copies should be mailed to:
Secretary-Treasurer’s Office
NYS Public Employees Federation
PO Box 12414
Albany, NY 12214-5551

1 Download
Payroll Deduction Authority & Membership Application - for Security Officer titles (NYSCOPBA)

For: NYSCOPBA-represented employees

Signed copies should be mailed to:
New York State Correctional Officers and Police Benevolent Association, Inc.
102 Hackett Blvd.
Albany, NY 12209

1 Download
Emergency Contact Form (PT 11)

For: All new employees

This form is used to give the Department contact information in case you encounter an emergency. (This form includes directions to return it to the Personnel Office. Please ignore those instructions; bring the form with you on your first day of work.)

1 Download
Computer Access & Security Certification (PT 112)

For: All new employees

This form outlines the Department's Computer Acceptable Use Agreement.

1 Download
Federal/Civil Service Veterans Status (PT 159)

For: All new employees

This form helps the federal government and this agency identify Federal Vietnam Era and/or Federal Disabled Veterans.

2 Download
Acknowledgement of Status in the New York State Employees' Retirement Program (PT 24)

For: Hourly, temporary or provisional employees who do not want to join the State Employees' Retirement System

Enrollment in the State Employees' Retirement System is optional for hourly, temporary and provisional employees. This form allows such employees to choose not to join the system. This waiver can be revoked at any time.

1 Download
Eligibility for Unemployment Insurance Benefits After Hire (PT 710)

For: All new employees

1 Download
Employees' Retirement System Membership Registration (RS 5420)

For: All permanent employees must complete this form to join the State Employees' Retirement System

Please print clearly in ink or type. Application must be signed on last page. Employees should complete lines 1-3, 10-13 and other applicable sections.

4 Download
Federal Withholding Form (Internal Revenue Service) (W-4)

For: All new employees

This document requires your original signature in ink.

2 Download
Documents & Websites (for your information only)
Document Description/Purpose Pages Download
Direct Deposit and You (FAQs) (AC 2810)

For: All new employees

1 Download
Equal Opportunity is the Law (DEOD 310.1E)

For: All new employees

1 Download
Igualdad de Oportunidad es la Ley (DEOD 310.1S)

Para: Todos los empleados nuevos

1 Download
Fingerprint Information (website)

For: New employees who are accepting a position as a Boiler Inspector, Public Work Wage Investigator, Safety & Health Inspector, Labor Standards Investigator, Tax Compliance Agent, Unemployment Insurance Investigator, Unemployment Insurance Tax Auditor, Senior Auditor, and either a Senior or Associate Industrial Hygienist

All new employees who are accepting one of the positions listed above must be fingerprinted.

Download
Department of Labor Employee Handbook (GA 9)

For: All new employees

58 Download
NYS Deferred Compensation Plan (website)

For: All new employees

Important Notice: If you were previously employed by the NYS Department of Labor or another NYS Agency and were participating in the NYS Deferred Compensation Program, you may be subject to the same deductions you previously agreed upon, even if you declared yourself separated from service and withdrew your contributions. If you would like to suspend payroll deductions or modify your deductions, please contact NYS Deferred Compensation at 1-800-422-8463. Please note: Payroll deductions may still take place until you cancel your agreement.

For additional information on the NYS Deferred Compensation Program, visit https://www.nysdcp.com/iApp/tcm/nysdcp/index.jsp.

Download
The Voluntary Defined Contribution Program for Management/Confidential Employees (website)

For: New Management Confidential Employees who will be earning an estimated salary of $75,000 or greater. Enrollment in this program must be made within 30 days of hire.

Download
NYS Employees' Retirement System - Tier 6 (website)

For: All new employees

Download
The Survivor’s Benefit Program for New York State Employees (website)

For: employees who are not designated Management/Confidential

Download
The Survivor’s Benefit Program for New York State Management/Confidential Employees (website)

For: employees designated Management/Confidential

Download
NYS Public Officers Law (booklet)

For: All new employees

104 Download
NYS Work Site Child Care (website)

For: All new employees

Download
Employee Benefit Programs (website)

For: All new employees

The Governor's Office of Employee Relations web page features links to information about the employee benefit programs available to state employees.

Download

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