Form Name and Number |
PDF Format
|
Application for Leave to Appeal to the Employment Relations Board CS-1743 (rev. 8/22) |
CS1743.pdf |
Beneficiary Designation Change CS-1781 (rev. 5/10) |
CS1781.pdf |
Brief in Response to Application for Leave to Appeal to the Employment Relations Board CS-1754 (rev. 8/22) |
CS1754.pdf |
Civil Service Position Description CS-214 (rev. 11/13)
Instructions for CS-214.pdf
CS214.doc
|
CS214.pdf |
Claim of Appeal as of Right to the Employment Relations Board CS-1756 (rev. 9/22)
|
CS1756.pdf |
Dependent Care Flexible Spending Account Mid-Year Enrollment CS-1774 (rev. 12/23)
|
CS1774.pdf |
Disability Accommodation Request by Employee CS-1668 (rev. 11/23)
|
CS1668.pdf |
Disclosure of Interest CS-1783 (rev. 4/07)
|
CS1783.pdf |
DMO Leave Application CS-1838 (rev. 4/23)
This Form is for Disability Management Office Use Only
|
CS1838.pdf |
Final Compensation Beneficiary Designation CS-140 (rev. 6/24)
|
CS140.pdf |
Flexible Spending Accounts Life Event/Election Change CS-1784 (rev. 12/23)
|
CS1784.pdf |
FMLA Certification Employee Relative CS-1807 (New 1/09)
|
CS1807.pdf |
FMLA_Leave of Absence Request_Response CS-1810 (rev. 7/19)
|
CS1810.pdf |
Grievance Form CS-100 (rev. 8/22)
|
CS100.pdf |
Group Appeal Contact Information CS-1793 (rev. 4/15)
|
CS1793.pdf |
Health Care Flexible Spending Account Mid-Year Enrollment CS-1773 (rev. 12/23)
|
CS1773.pdf |
Health Care Flexible Spending Account Continuation of Coverage CS-1814 (rev. 10/20)
|
CS1814.pdf |
HIPAA Disclosure Authorization CS-1786 (rev. 5/04)
|
CS1786.pdf |
HIPAA Privacy Complaint Form CS-1782 (rev. 2/17)
|
CS1782.pdf |
Life Insurance and Accidental Duty Death Enrollment and Beneficiary Form CS-1717 (rev. 9/17)
This Form is for Judicial State Employees Use Only
|
CS1717.pdf |
Non-FMLA Medical Certification by Physician CS-1835 (rev. 4/17)
|
CS1835.pdf |
OEAI Application and Affidavit CS-1833 (rev. 11/22)
|
CS1833.pdf |
Petition for Election CS-1760 (rev. 8/22)
|
CS1760.pdf |
Pregnant Worker Accommodation Request (rev. 5/24) |
CS1667.pdf |
Proof of Service to Other Parties to the Employment Relations Board CS-1740 (rev. 4/15)
|
CS1740.pdf |
QTFB Reimbursement Claim CS-1779 (rev. 2/17)
|
CS1779.pdf |
Recall Election Form CS-1848 (New 1/19)
|
CS1848.pdf |
Request to Order Witnesses to Appear or Produce Documents CS-1747 (rev. 9/15)
|
CS1747.pdf |
Technical Complaint Form CS-212 (rev. 9/22)
|
CS212.pdf |
Unclassified Position Description CS-133 (rev. 7/13)
|
CS133.pdf |
Verification of Eligibility CS-1830 (rev. 2/17)
|
CS1830.pdf |