Forms

  1. Cancer Screening Leave Request
  2. Cell Phone Request Form
  3. Cell Phone Use Agreement Form
  4. Confidentiality Agreement Interns and Volunteers
  5. Co-worker Conflict Resolution Procedure and Reporting Form
  6. County Email on Personal Cell Phone Agreement Form
  7. COVID Testing Leave Request Form
  8. COVID Vaccine Leave Request Form
  9. Crossfiling With Other Counties Form
  10. Direct Deposit Form
  11. Disclosure and Consent For Background Investigation Form
  12. Discrimination Complaint Form
  13. Education Assistance Reimbursement Request - Management Employees
  14. Educational Assistance Request Form - CSEA Unit #6550
  15. Education Assistance Request Form - Management Employees
  16. Educational Assistance Request Form - Correction, Civilian & DOERC
  17. Educational Assistance Request Form - NYSNA
  18. Education Reimbursement Request - CSEA, Corrections, Civilian, DOERC
  19. Education Reimbursement Request - NYSNA
  20. Emergency Pool- Donor Form
  21. Emergency Pool- Requestor Form
  22. Employee Contact Information Form
  23. Employee Evaluation Form - CSEA 6550
  24. Employee Evaluation Form - Management & Management Confidential
  25. Exam or Job Application
  26. FMLA- Employee Application Form
  27. FMLA- Physician Certification For Employee Form
  28. FMLA- Physician Certification For Family Member Form
  29. Intern Letter of Agreement
  30. Intern Request Form
  31. Intern Risk Assumption Form
  32. Job Classification Questionnaire Form
  33. New Position Duties Statement Form
  34. Pink Sheet/MSD 426A Form
  35. Request for Eligible List (PDF)
  36. Sexual Harassment Complaint Form
  37. Veterans Credit Application Form
  38. Veterans Disability Record Authorization Form
  39. Volunteer Letter of Agreement
  40. Volunteer Request Form
  41. Volunteer Risk Assumption Form
  42. Work Place Violence Incident Report Form