Public Forms Index
| POLICY/FORM NAME | FORM |
|---|---|
| New York State Flex Spending Account Dependent Care Advantage Account Reimbursement Request Form | DCAA Reimbursement Form (PDF) |
| NYS Flex Spending Account - RACE Form | RACE Form (PDF) |
| Employee Benefits Management Unit Flexible Spending Account Authorization for Release of Information | EBM Information Release Authorization (PDF) |
| NYS/NYSCOPBA Agency-Specific Grant Application Request for Training Funds | NYSCOPBA ASG Application (MS Word) |
| NYS/NYSCOPBA Joint Labor-Management Committee Grant Proposal Application Form | NYSCOPBA L-M Grant Application (MS Word) |
| Council 82 Application for Tuition Reimbursement | Council 82 Tuition Reimbursement Application (MS Word) |
| Waiver of Additional Money for Holiday Work | Waiver of Holiday Compensation Form (PDF) |
| POLICY/FORM NAME | FORM |
|---|---|
| Application for Competitively Bid Contract | ADM-28 (MS Word) |
| Application for Contract — Amendment/Renewal/Single or Sole Source/Purchase Orders | ADM-28A |
| Notice of Intent to Bid, to Remain on Mailing List or to Attend the Bidders Conference | ADM-103 |
| Contractor's Minority and Women Business Enterprise (M/WBE) Utilization Form and Instructions | ADM-145 |
| Contractor's Minority and Women Business Enterprise (M/WBE) Quarterly Utilization Report and Instructions | ADM-146 |
| Equal Employment Opportunity Staffing Plan | ADM-311 |
| Work Force Employment Utilization Report | ADM-314 |
| Minority & Women-Owned Business Enterprises and EEO Policy Statement | ADM-315 |
| Minority and Women Business Enterprise (M/WBE) Waiver Request Form | ADM-149 |
| GOER/LMC Bidders Conference Attendance Form | ADM-301 |
| POLICY/FORM NAME | FORM |
|---|---|
| NYSCOPBA Application for Tuition Reimbursement | NYSCOPBA Tuition Reimbursement Application (MS Word) |
| M/C Tuition Reimbursement Program 1 | M/C Tuition Reimbursement Form (Part I, Application) (MS-Word) |
| M/C Tuition Reimbursement Program 2 | M/C Tuition Reimbursement Form (Part II, Computation) (MS Word) |
| Workforce Initiatives Program 2009 - 2011 For PS&T Unit Employees Application | Workforce Initiatives Application (MS Word) |
| Train-the-Trainer Evaluation | TTT Evaluation (MS Word) |
| Train-the-Trainer Trainee Self-Assessment | (New) TTT Self Assessment Form (MS Word) |
| Train-the-Trainer Instructor Evaluation Form | (New) TTT Instructor-Participant Evaluation Form (MS Word) |
| PSWP Suggested Workshop Topic | (New) PSWP Suggested Workshop Topic Form (MS Word) |
| Agency PSWP Liaison Workshop Request | (New) Agency PSWP Liaison Workshop Request Form (MS Word) |
| PUBLIC SERVICE TRAINING PROGRAM APPLICATION — 2009-2010 | (New) PSTP CTR VALT Application and Instructions (MS Word) |
| Nurses’ Enhanced Pilot Programs Application Form Instructions | (New) Enhanced Nurses Application and Instructions (MS Word) |
| MBTI Facilitators Exchange Request Form | MBTI Facilitators Exchange Request Form (MS Word) |
| POLICY/FORM NAME | FORM |
|---|---|
| Adult Education Basics Program Registration Form | Adult Education Basics Employee Registration Form (MS Word) |
| Worksite Training Application | Worksite Training Application (MS Word) |
| Consent for Use of Photograph(s) and/or Video Recordings | Consent for Use of Photos (MS Word) |
| Course Registration Form | Course Registration Form (MS Word) |
| Adult Education Basics Program For CSEA Metropolitan Region 2 | Adult Education BasicsRegistration Form (MS Word) |
| Instructions for Completing and Submitting Your Journal Transfer/Revenue Transfer Voucher for the | Instructions for Completing and Submitting a Journal Voucher (MS Word) |
| NYS & CSEA Partnership Labor-Management Workforce Development Grants Program Questionnaire | Labor-Management Workforce Development Grants Program Questionnaire (MS Word) |
| NYS & CSEA Partnership LMWD Grants Audit Checklist for Journal Transfer/Revenue Transfer | LMWD Grants Audit Checklist for Journal Transfers (MS Word) |
| NYS & CSEA Partnership Labor-Management Workforce Development Grant Application | LMWD Grant Application (MS Word) |
| Quality of Work Life Grants Application Form | Quality of Work Life Grants Application Form (MS Word) |
| NYS & CSEA Partnership QWL Grants Audit Checklist for Journal Transfer/Revenue Transfer | QWL Grants Audit Checklist Journal Transfers (MS Word) |
| NYS & CSEA Partnership QWL Grants Audit Checklist for Standard Voucher | QWL Grants Audit for Standard Vouchers (MS Word) |
| NYS & CSEA Partnership Skills for Success Course Application Form | Skills for Success Application (MS Word) |
| NYS & CSEA Partnership Tuition Benefits Program Application Form | Tuition Benefits Program Application Form (MS Word) |
| NYS & CSEA Partnership Participant Course Evaluation | Course Evaluation.doc |
| NYS & CSEA Partnership Applied Skilled Trades Program Employee Registration Form | ASTP Employee Registration Form (MS Word) |
| NYS & CSEA Applied Skilled Trades Program Worksite Application Form | ASTP Worksite Application Form (MS Word) |
| POLICY/FORM NAME | FORM |
|---|---|
| State-DC-37 Disciplinary Settlement Form (If Applicable) | State-DC-37 Disciplinary Settlement Form (MS Word) |
| State-CSEA Grievance Form | State-CSEA Grievance Form (MS Word) |
| State-PEF Resignation Form | State-PEF Resignation Form (MS Word) |
| State-PEF Statement Required to Accompany Notice of Discipline | State-PEF Statement to Accompany Notice of Discipline (MS Word) |
| State-CSEA Article 24 Out-Of-Title Work Grievance Form | CSEA Out-of-Title Work Grievance Form (MS Word) |
| State-PEF Disciplinary Grievance Form | State-PEF Disciplinary Grievance Form (MS Word) |
| State/PEF Disciplinary Settlement Form | State-PEF Disciplinary Settlement Form (MS Word) |
| Statement of Employee Rights | State-PEF Statement of Employee Rights (MS Word) |
| CSEA Disciplinary Settlement Form | State-CSEA Discipline Settlement Form (PDF) |
| SSU and SSPU Disciplinary Grievance Form | State-SSU and State-SSPU Disciplinary Grievance Pg. 1 (PDF) |
| SSU and SSPU Disciplinary Grievance Form | State-SSU and State-SSPU Disciplinary Grievance Pg. 2 (PDF) |
Updated: May 15, 2012