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MCSC Forms

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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. 8/22)
CS1756.pdf
Dependent Care Flexible Spending Account Mid-Year Enrollment CS-1774 (rev. 2/17)
CS1774.pdf
Disability Accommodation Request by Employee CS-1668 (rev. 7/20)
CS1668.pdf
Disclosure of Interest CS-1783 (rev. 4/07)
CS1783.pdf
DMO Leave Application CS-1838 (rev. 9/20)
This Form is for Disability Management Office Use Only
CS1838.pdf
Final Compensation Beneficiary Designation CS-140 (rev. 8/07)
CS140.pdf
Flexible Spending Accounts Life Event/Election Change CS-1784 (rev. 10/20)
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. 10/20)
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
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. 8/22)
CS212.pdf
Unclassified Position Description CS-133 (rev. 7/13)
CS133.pdf
Verification of Eligibility CS-1830 (rev. 2/17)
CS1830.pdf
 
FORMS FOR MANAGERS & PERSONNEL STAFF
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Note: Form must be saved to your computer prior to e-mailing as an attachment.
Form Name and Number
PDF Format
Civil Service Position Description CS-214 (rev. 11/13)
Instructions for CS-214.pdf
CS214.doc
CS214.pdf
Discriminatory Harassment Work Rule (rev. 8/07)
Harass.pdf
Employee Departure Report CS-301 (rev. 2/19)
CS301.pdf
Employee Personal Data CS-1785 (rev. 12/16)
This Form is for Human Resource Offices Use Only
CS1785.pdf
Employment History File Correction Request CS-1705 (rev. 4/17)
CS1705.pdf
Evaluation of Disability Accommodation CS-1670 (rev. 8/07)
CS1670.pdf
Final Compensation Beneficiary Affidavit CS-140a (rev. 8/07)
CS140a.pdf
Interim Employee Rating CS-375 (rev. 6/18)
CS375.doc
CS375.pdf
Oath of Office CS-314 (rev. 8/07)
CS314.pdf
Plan C Leave of Absence Form CS-1788 (rev. 2/17)
This Form is for Employee Benefits and Human Resource Offices Use Only
CS1788.pdf
Position Request CS-1795 (rev. 4/17)
CS1795.pdf
Request for Credential Review CS-153 (rev. 7/09)
Credential Review Procedures.pdf
Prescreen Procedures.pdf
CS153.pdf
Request for Prior Employment History CS-1704 (rev. 1/12)
CS1704.pdf
Response to Disability Accommodation Request CS-1669 (rev. 7/20)
CS1669.doc
CS1669.pdf
Senior Executive Management Assistant Service (SEMAS) Limited-Term Employment Agreement CS-1738 (rev. 7/13)
CS1738.pdf
Senior Executive Service Limited-Term Employment Agreement CS-1720 (rev. 7/13)
CS1720.pdf
Unclassified Position Description CS-133 (rev. 7/13)
CS133.pdf