Additional Security Benefits
Additional Security Benefits Plan - Coordination of Benefit Payments
Additional Security Benefits - Landlord Affidavit.pdf
Additional Security Benefits Plan - Medical and Dental Record (Form A).pdf
Additional Security Benefits Plan - Prescription and Over-the-Counter Drug Record (Form B).pdf
Additional Security Benefits Plan - Direct Deposit Authorization Form.pdf
Additional Security Benefits Plan - Application for Supplementary Benefits
E.E.S.I.S.P.
NY State Disability Form - DB-450
NY State Disability Benefits - DB-271S
DB-450 and DB-271S must be downloaded together
Paid Family Leave to bond with a newly born, adopted, or fostered child
Paid Family Leave to care for a family member with a serious health condition
Paid Family Leave to provide assistance when a family member is deployed abroad
Paid Family Leave for a Minor Dependent Child due to COVID-19 Quarantine:Isolation
Paid Family Leave for yourself due to COVID-19 Quarantine:Isolation
Legal Services Plan
Pension, Hospitalization and Benefit Plan (fka VHUP)
JOIN
Deferred Salary Plan Benefit Applications and Election Forms
Deferred Salary Plan Application for Benefits
Deferred Salary Plan Medical and Dental Record (Form A)
Deferred Salary Plan Prescription and Over-the-Counter Drug Record (Form B)
Deferred Salary Plan Wage Replacement Day Form - 6 Days
Deferred Salary Plan Application for Picket Duty
Deferred Salary Plan Landlord Affidavit
Street Lighting Division - Medical Exam/Inclement Weather Application
Deferred Salary Plan State Tax Withholding Request
Deferred Salary Plan Election Form
