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the following Forms.
- Annual Statement Financial Disclosure (ASFD)
- Change of Address
- Change of Name
- College
Savings Deduction
- Dual Employment
- Educational Expense Reimbursement
- Emergency Contact Form
- Employee Suggestion Program
- Examination Applications and Forms
- Honorarium
- Resignation
- Sick Form - Managerial
- Sick Form - Non-Managerial
- Training Regisitration Forms
- TWU Local 100 Death Benefit- Beneficiary
Designation
- Self Assessment Forms
401(k)/457 FORMS
- Participant Enrollment 401(k) Plan
- Beneficiary Designation 401(k) Plan
- Distribution/Direct Rollover Request 401(k) Plan
- Incoming Transfer/Direct Rollover 401(k) Plan
- Participant Enrollment Governmental 457(b) Plan
- Beneficiary Designation Governmental 457(b) Plan
- Distribution/Direct Rollover Request Governmental 457(b) Plan
- Incoming Transfer/Direct Rollover
FMLA and SHORT-TERM DISABILITY FORMS
- Application for Short Term Disability Benefits-TWU Local 100
- Application for Short Term Disability Benefits - Managerial
- FMLA Medical Certification Form and Procedure
- Request & Notification Application for FMLA
- Your Rights Under FMLA
HEALTH INSURANCE FORMS
- ATU L 1056 Empire BCBS Dental Claim Form
- AMLI Dental Plan B Claim Form (Administered by the Dental Shop)
- GHI Dental Claim form (TWU L 100, ATU 1056, ATU 726 and MTA BUS))
- MetLife Dental Claim Form
- Empire Plan Claim
- Cole Managed Vision – Out of Network Claim Form (Active and Retired Managerial/Active
and Retired Non-Rep C & S (After 06/01/99)/ Active and Retired OSA (After 07/01/02)
- Other Out of Network Claim Form
- 2007 Opt-Out Election Form
- Health Enrollment/Change Forms
- 'Health
Care Account Pay Me Back' claim form
- 'Dependent
Care Account Pay Me Back' claim form
- Flex
Spending: Health Care Status Change
- Flex
Spending: Dependent Care Status Change
- GHI Health Insurance Claim
- TWU Local 100 Enrollment/Change
- NYSHIP Empire Dependent
Students Age 19 or Older Form
- NYSHIP Empire Enrollment/Change Form
LIFE INSURANCE FORMS
- Life Insurance Beneficiary Designation Form
- Life Insurance Conversion Form
- Optional and Dependent Life Enrollment Form for Various Title
- Optional and Dependent Life Enrollment Form for Managerial/Non-Represented Career and Salary Employees
PENSION FORMS
- Applications for Pension Loan
- Designation of Beneficiary
- Designation of Guardian
- Designation of Primary and Contingent Beneficiary
- NYCERS Application to Purchase Credit for Military Service
- MABSTOA Pension Loan Terms and Application
- MABSTOA Military Service Buy Back
- Non-Military Service Buy Back
- NYCERS
Loan Application Tier I and II
- NYCERS Loan Application Tier III and IV
