These forms require the Adobe Reader. If you do not have Adobe Reader, you can download it for free by clicking here.

Application for Employment

O.E.L.S. Weekly Timesheet

W-4 Form

IT-2104 Form

I-9 Form

4070/4070A Forms (Employees weekly and daily record and report of tips)

Benefit Plan Waiver/Election Form

Employee Benefits Options

BC/BS Group Enrollment Form

BC/BS (Excellus) Claim Form

MVP Enrollment/Change Form

Guardian Enrollment/Change Form

Guardian Dental Claim Form

EYE MED Enrollment/Change Form

Full Flex (Employee Choice) Enrollment/Change Form
   (Call O.E.L.S. at (315) 463-7838 or (800) 443-6357 for
    details about this plan).

Flex Spending Account Reimbursement Claim Form


FOR ANY OTHER FORMS OR INFORMATION, PLEASE CALL (315) 463-7838 or 1-(800) 443-6357