Form PS-410 Nyship Sick Leave Credit Preservation Form - New York

Form PS-410 Nyship Sick Leave Credit Preservation Form - New York

What Is Form PS-410?

This is a legal form that was released by the New York State Department of Civil Service - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PS-410 Nyship Sick Leave Credit Preservation Form?
A: Form PS-410 Nyship Sick Leave Credit Preservation Form is a document used in New York for the preservation of sick leave credit under Nyship (New York State Health Insurance Program).

Q: Who needs to fill out Form PS-410?
A: Employees who are eligible for Nyship benefits and want to preserve their sick leave credit need to fill out Form PS-410.

Q: Why would someone need to preserve their sick leave credit?
A: Preserving sick leave credit can be beneficial for employees as it can be used to offset the cost of health insurance premiums during retirement.

Q: Is there a deadline to submit Form PS-410?
A: Yes, there is a deadline to submit Form PS-410. It is usually within 60 days of separation from service.

Q: What information should be included in Form PS-410?
A: Form PS-410 requires information such as employee details, employment history, sick leave balance, and Nyship coverage information.

Q: Who should I contact for assistance with Form PS-410?
A: You can contact your employer's human resources or benefits department for assistance with Form PS-410.

Q: Is there a fee associated with submitting Form PS-410?
A: No, there is no fee associated with submitting Form PS-410.

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Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the New York State Department of Civil Service;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PS-410 by clicking the link below or browse more documents and templates provided by the New York State Department of Civil Service.

Download Form PS-410 Nyship Sick Leave Credit Preservation Form - New York

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