New York State Department of Civil Service Forms

This form is used for the New York State Health Insurance Program (NYSHIP) Opt-Out Program. It is an attestation form for individuals who choose to opt out of the program.

This form is used for designating a beneficiary for M/C life insurance in New York.

This Form is used for requesting decentralized test authorization in New York.

This form is used for creating a security agreement for test administration in the state of New York. It ensures that the necessary measures are in place to protect the integrity and confidentiality of the test materials.

(Note: The specific details of the form may vary. Please refer to the official instructions or consult a legal professional for a comprehensive understanding of its contents and purpose.)

This form is used for requesting a waiver of free interpretation services in New York. It allows individuals to indicate that they do not require interpretation services for a particular matter.

This document is a canvass letter used in New York for the purpose of updating the redeployment list.

This form is used for confirming the declination of an offer for redeployment/reemployment with the state of New York.

This document is used for the disposition of veterans credits in the state of New York.

This form is used for authorizing the record release related to disability in the state of New York.

This document is a canvass letter template used by the New York agency for reducing and transferring personnel.

This Form is used for confirming the declination of the Agency Reduction Transfer Referral System in New York.

This Form is used for existing position descriptions in the state of New York.

This Form is used for conducting reemployment list canvassing in the state of New York. It is a letter template used to notify individuals on the reemployment list about job opportunities.

This form is used for requesting mandatory health examinations from agencies in New York.

This document is for authorizing drug/alcohol testing and releasing medical information in New York.

This form is used for authorizing the verification of non-disabled veteran credits use in the state of New York.

This form is used for requesting a reinstatement examination in New York for EHS-705.

This Form is used for requesting occupational or mandatory health examinations in New York.

This form is used for requesting an appointment in New York.

This document is used for employees applying for a change in title or salary in the state of New York.

This Form is used for the agency in New York to request a medical assessment for respirator use.

This form is used for requesting a reconstructed seniority date under Section 80.3 or 80a.3 in the state of New York.

This form is used for authorizing the release and disclosure of your medical information in the state of New York. It allows healthcare providers to share your medical records with other parties as specified by you.

This form is used for applying for an extension of an employee's leave of absence in New York.

This form is used for filing an appeal with the Civil Service Commission in New York. It is required to address any grievances or disputes related to civil service employment.

This Form is used for requesting a preplacement physical examination in the state of New York.

This Form is used for requesting reinstatement in the state of New York.

This Form is used for requesting a medical examination for government agency purposes in New York.

This form is used for requesting a change in the eligible list status in the state of New York.

This form is used for requesting the disqualification of a candidate in New York.

This form is used for authorizing the release of disability records in the state of New York.

This form is used for confirming the declination of an individual from the regular eligible list in the state of New York.