New York State Department of Civil Service Forms

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Documents:

115

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This form is used for filing a complaint related to the privacy of health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) in the state of New York. It allows individuals to report any violations or breaches of their privacy rights.

This form is used for authorizing the release and disclosure of your medical information to a state agency in New York.

This form is used for requesting a change in individual status on interdepartmental promotion eligible lists in New York.

This Form is used for requesting coverage under the Young Adult Option (Student Employee Health Plan) in New York.

This form is used for applying for New York State examinations that are open to the public. It is designated as NYS-APP-4 #20-149 (or NYS-APP-4 #20-150).

This form is used to apply for the NYS Examinations Open to the Public for the position of Medical Technologist 1 in New York.

This form is used for applying for New York State examinations that are open to the public for the position of Pharmacist.

This Form is used for applying for New York State examinations for the position of Verbatim Reporter 1, which are open to the public.

This Form is used for applying for New York state examinations that are open to the public. It is necessary to fill out this application to participate in these exams.

This document is used for deferring the enrollment in the NYSHIP health insurance plan in New York.

This form is used for preserving sick leave credits under the New York State Health Insurance Program (NYSHIP).

This form is used for electing the option to receive sick leave credits under the New York State Health Insurance Program (NYSHIP).

This form is used for terminating a domestic partnership for NYSHIP (New York State Health Insurance Program) in the state of New York.

This Form is used for filing a language access complaint in New York, specifically for incidents involving Yiddish speakers.

This document is a complaint form that allows individuals to file a complaint about language access issues in New York State. It is available in Arabic.

This form is used for filing a language access complaint in New York, specifically for Italian speakers.

This form is used for filing a language access complaint in New York specifically for Polish speakers.

This document is used for filing a complaint regarding language access issues in New York. It allows individuals to report instances where language services were not provided or were inadequate.

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