Forms and Instructions

Retirement

• TRS - NYS Teachers Retirement Website

• ERS - Employee Retirement System

• U.S. OMNI - Plan Detail

• Deferred Comp 457 Plan  

Payroll

• 12-Month Employees Payroll Calendar 2025-2026

• SEIU Payroll Calendar 2025-2026

• UAA Payroll Calendar 2025-2026

• UTA Payroll Calendar 2025-2026

• 12-Month Employees Payroll Calendar 2024-2025

• SEIU Payroll Calendar 2024-2025

• UTA Payroll Calendar 2024-2025

Health and Dental Insurance

• Register Your Excellus BCBS Account

• UCSD Telemedicine for Medical and Behavioral Health Care Flyer

• Pharmacy Information Flyer

• 2024-2025 UCSD Medical and Dental Enrollment Form

• Qualifying Event Checklist

• 2024-2025 UCSD Medical Plan Comparison

Flex Spending

• Preferred Flex - I.R.S. Section 125 - Flexible Benefit Plans

• FLEX Plan Change in Status Election Form

• Flex Benefits Letter - Enrollment Period 

• Flex Spending Plan Reimbursement Voucher

• Preferred Group PG Blue Participant Login Instructions

• Request Form for the Prepaid Benefits Card

• Utica City School District PG Blue - FSA Enrollment Form

• Direct Deposit Authorization for Reimbursement

• Guidelines for Over-The-Counter Products

• Benefit Termination from Service Election Form

FMLA - Family Medical Leave Act

• Family and Medical Leave Act Website

Workers Compensation

• Claimant Resources – NCA Comp

EAP

• Employee Assistance Program Flyer

Other Forms

• Leave for Cancer Screening and Claim Form