- Alternate Benefits Program (ABP) Carrier Election and Allocation Form(Writable PDF)
- (PDF)
- Pension Loan Verification Form (Writable PDF)
- Hardship Withdrawal Request Form (writable PDF)
- Alternative Work Arrangement Agreement (AWA) – (Writable PDF)
- Business Card Printing Authorization Form
- Digital Signature – once the form opens, download it and save it to your computer & open with Adobe Acrobat (Digital Signature Instructions)
- Procedure听(笔顿贵)
Please fill out the form below for either Part-time or Full-time employee:
- Change of Address (PT) (Writeable PDF) Internal Ramapo Form
- Change of Address (FT Faculty & Staff) Writeable PDF – Internal Ramapo Form – Please return form to Benefits
In addition to filling out the form above, please make your address change with your Health Benefits:
- Health Benefits – need myNJ account – link to website:听 (Benefitsolver) – Guide link for instructions – click here:听 Guide听
- ABP Members contact your vendor.
- Enrollment Form (PDF)
- Beneficiary Change Form (PDF)
- Deferral Rate Change Form (PDF)
- Allocation Change Form (PDF)
- Catch Up Election Form (PDF)
- Driver’s License Abstract (writable PDF)
- See Alternate Work Arrangement Agreement (AWA)
- (PDF)
- (PDF)
- Request for Leave of Absence Form (PDF)
- (PDF)
- (PDF)
- (PDF)
- (PDF)
- FMLA Intermittent Absence Form (Writeable PDF)
- (PDF)
- Physician Return to Work Authorization
New Jersey Earned Sick Leave Law
Who is covered by the Law?
The New Jersey Earned Sick Leave Law extends earned sick leave benefits to employees who were not previously entitled to this benefit (i.e. adjuncts, temporary, hourly employees, and student workers).
What does the New Jersey Earned Sick Leave Law Provide?
Under the New Jersey Earned Sick Leave Law, eligible employees earn sick leave at the rate of one-hour for every 30 hours worked, up to a maximum of 40 hours of sick leave.
When can eligible employees start accruing sick leave?
Eligible employees will begin to accrue earned sick leave on October 29, 2018, or on their first day of employment, whichever is later.
When can eligible employees start using sick leave?
Eligible employees can begin using earned sick leave accrued under the New Jersey Earned Sick Leave Law the later of the 120th day after the accrual date of October 29, 2018 on and after February 26, 2019 or the 120th calendar day after you begin employment.
Is advance notice required before I take a Sick Leave?
If your need for earned sick leave is foreseeable (can be planned in advance), you should as possible provide up to 7 days advance notice of your intention to use earned sick leave to your supervisor. If your need for earned sick leave is unforeseeable (cannot be planned in advance), provide notice as soon as it is practical to your supervisor.
Do I need to provide documentation when I use my Sick Leave?
Documentation is required, if you use earned sick leave on 3 or more consecutive work days, or on certain Blackout dates specified by your supervisor. However, the law prohibits employers from requiring your health care provider to specify the medical reason for your leave.
Can I carryover Sick Leave Days?
Yes, you may carry-over up to 40 hours of leave per benefit year. However, you can only use up to 40 hours of leave per benefit year.
What a reasons that I can use Sick Leave?
You can use earned Sick Leave when:
- You need diagnosis, care, treatment, or recovery for a mental or physical illness, injury, or health condi颅tion; or you need preventive medical care.
- You need to care for a family member during diag颅nosis, care, treatment, or recovery for a mental or physical illness, injury, or health condition; or your family member needs preventive medical care.
- You or a family member have been the victim of domestic violence or sexual violence and need time for treatment, counseling, or to prepare for legal proceedings.
- You need to attend school-related conferences, meetings, or events regarding your child鈥檚 education; or to attend a school-related meeting regarding your child鈥檚 health.
- Your employer鈥檚 business closes due to a public health emergency or you need to care for a child whose school or child care provider closed due to a public health emergency.
What is the definition of 鈥淔amily Member鈥?
The law recognizes the following individuals as 鈥渇amily members:鈥
-
- Child (biological, adopted, or foster child; stepchild; legal ward; child of a domestic partner or civil union partner)
- Grandchild
- Sibling
- Spouse
- Domestic partner or civil union partner
- Grandparent
- Spouse, domestic partner, or civil union partner of an employee鈥檚 parent or grandparent
- Sibling of an employee鈥檚 spouse, domestic partner, or civil union partner
- Any other individual related by blood to the employee
- Any individual whose close association with the employee is the equivalent of family
If, I need to take a sick Leave day what is the current process?
Notify your Supervisor that you will be taking sick time for one of the eligible reasons listed above.
To take sick time, enter your sick hours using the Paid Sick Leave Code on your timesheet in Web Self-Service, once you sign on to submit your weekly hours.
You may view your available sick leave balance at any time in Web Self-Service by clicking Leave Balances under the Employee tab in .
I am an Adjunct, Graduate Assistant or Coach and I do not submit my time via Web Self Service. How can I submit a Sick Leave request?
Notify your Supervisor that you will be taking sick time for one of the eligible reasons listed above.
Complete the NJ Employee Earned Sick Leave Request Form to request sick time. Enter your sick hours, date(s) you are requesting Earn Sick Leave. Provide the completed form听to your Supervisor for review and approval. Your Supervisor will forward the completed form to Payroll for processing.
You may view your available sick leave balance at any time in Web Self-Service by clicking Leave Balances under the Employee tab in .
What if I have already taken Sick Leave days?
Please send an email to the confidential email at SickLeave@ramapo.edu. Please include the days/hours that you were out due to one of the Sick Leave reasons listed above. Please include the reason you are taking Sick Leave.
Can Earned Sick Leave be charged to Federal Work Study?
No, NJ Earned Sick Leave may not be charged to Federal Work Study.
As a Supervisor can I view the available Leave Balances of my Direct Reports?
Yes, you can view the Leave Balances of your Direct Reports via . Access the employees鈥 timesheet in the same manner that you access their record to approve their time. Click on the 鈥淓mployee Tab, Select the Pay Type (RB or SB), Pay number, select the employees鈥 record and click the 鈥淟eave Balance鈥 link located to on the last column on the far right of the employees鈥 record.
As an adjunct how are my hours calculated?
When calculating sick leave accrual, multiply the total classroom teaching hours by 2.25 per credit to get their equivalent “work hours”.听 For example an adjunct teaching 8 credits for 15 weeks in the Fall semester:听 8 credits x 2.25 = 18 hours a week.听 18 x 15 weeks = 270 hours for the semester.听 Divide 270 by 30 hours (sick leave at the rate of one-hour for every 30 hours worked) = 9 hours of sick leave for the semester.
The New Jersey Earned Sick Leave which was posted as legally required may be viewed at
- OptumRx Member Services:听1-844-368-8740
- Medicare Retirees:听1-844-368-8765
- Special Payment Form (Electronic Signature) Once the special payment form opens, download it and save to your computer, then open it with Adobe Acrobat
- Digital Signature Instructions
- EPAF is currently under review and not available at this time.
- User Training handbooks听at the HR Training website
- Tuition Waiver Full Time AFT(PDF) (Electronic Signature) Once the form opens, download it and save it to your computer & open with Adobe Acrobat (Digital Signature Instructions)
- Tuition Waiver Non-AFT听(笔顿贵) (Electronic Signature) Once the form opens, download it and save it to your computer & open with Adobe Acrobat (Digital Signature Instructions)
- Tuition Waiver for Dependent (PDF) (Electronic Signature)听 Once the form opens, download it and save it to your computer & open with Adobe Acrobat (Digital Signature Instructions)
- Tuition Assistance for Classified/Unclassified Staff (Non-AFT) (Electronic Signature)Once the form opens, download it and save to your computer & open with Adobe Acrobat听 (Digital Signature Instructions)
- Tuition Reimbursement AFT
- Vision Care Request for Reimbursement (writable form)
- Voluntary Furlough Request Form(PDF) (Electronic Signature) Once the form opens, download and save it to your computer and open with Adobe Acrobat (Digital Signature Instructions)

Follow Ramapo