{"id":11744,"date":"2016-03-01T03:15:28","date_gmt":"2016-03-01T03:15:28","guid":{"rendered":"http:\/\/www.csea880.org\/?page_id=11744"},"modified":"2022-07-07T14:09:17","modified_gmt":"2022-07-07T18:09:17","slug":"downloads-and-forms","status":"publish","type":"page","link":"https:\/\/www.csea880.org\/downloads-and-forms\/","title":{"rendered":"Workplace Downloads and Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"11744\" class=\"elementor elementor-11744\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c829a05 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"c829a05\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;893493b&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be89a1a\" data-id=\"be89a1a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18b58cd elementor-widget elementor-widget-heading\" data-id=\"18b58cd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Forms & Downloads<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d77f12e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d77f12e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9ccbae elementor-widget elementor-widget-heading\" data-id=\"b9ccbae\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Workplace, Medical & Insurance Forms<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e0a1017 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e0a1017\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;f48c902&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4790d2d\" data-id=\"4790d2d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c669cfa elementor-align-center elementor-widget elementor-widget-button\" data-id=\"c669cfa\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md elementor-animation-float\" href=\"https:\/\/memberlink.cseany.org\/memberapplication.aspx\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">CSEA MEMBERSHIP APPLICATION<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8c2c0ce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8c2c0ce\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;c8944bd&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cef6ddd\" data-id=\"cef6ddd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5dd17c elementor-widget elementor-widget-heading\" data-id=\"c5dd17c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CSEA & TOH FORMS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe7ea8f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fe7ea8f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67165f2 elementor-widget elementor-widget-text-editor\" data-id=\"67165f2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/retiree_app-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CSEA Retiree Application<\/a><\/li><li><a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-380-e.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Family Medical Leave Act (FMLA) &#8211; For Employee<\/a><\/li><li><a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-380-F.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Family Medical Leave Act (FMLA) &#8211; For Family Member<\/a><\/li><li><a href=\"https:\/\/www.csea880.org\/wp-content\/uploads\/2022\/07\/DOC070722-07072022095211.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Vacation In-Lieu of Sick Form<\/a>\u00a0<\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/DIRECT-DEPOSIT.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Direct Deposit Form<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/DIRECT-DEPOSIT-CREDIT-UNION.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Direct Deposit Form (credit union)<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2018\/09\/CAT-LEAVE-APP-Initial.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Catastrophic Leave Application (initial)<\/a><\/li><li><a href=\"\/wp-content\/uploads\/2018\/09\/CAT-LEAVE-APP-Extension.pdf\" target=\"_blank\" rel=\"noopener\">Catastrophic Leave Application (extension)<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/catastrophic-leave-donation-form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Catastrophic Leave Donation Form<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/img003.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">AFLAC Withdrawal Form<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/img004.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">United Way Withdrawal<\/a><\/li><li><a href=\"https:\/\/www.csea880.org\/wp-content\/uploads\/2022\/03\/legal-assistance-payroll-deduction.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Legal Assistance Program Payroll Deduction Form<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0705ca1 elementor-widget elementor-widget-heading\" data-id=\"0705ca1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">NYS RETIREMENT &amp; LOANS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d53c31 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6d53c31\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb52be5 elementor-widget elementor-widget-text-editor\" data-id=\"eb52be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/rs6037.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Application for Service Retirement &#8211; rs6037<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/rs6370.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Electronic Funds Transfer Direct Deposit Enrollment Application &#8211; rs6370<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/rs6399.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Retirement Option Election Form For Tier 3, 4, 5 and 6 ERS Members &#8211; rs6399<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cb343d1\" data-id=\"cb343d1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b5fc36 elementor-widget elementor-widget-heading\" data-id=\"5b5fc36\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MEDICAL\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aaec96 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4aaec96\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb55f43 elementor-widget elementor-widget-text-editor\" data-id=\"bb55f43\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/connect.werally.com\/medicalProvider\/root\" target=\"_blank\" rel=\"noopener\">EMPIRE PLAN Participating Provider Database<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/EMPIRE-Pharmacy-Reimbursement-Claim-Form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">EMPIRE PLAN Pharmacy Reimbursement Claim Form<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/EMPIRE-PLAN-HAELTH-INSURANCE-CLAIM-FORM.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">EMPIRE PLAN Health Insurance Claim Form<\/a><\/li><li><a href=\"https:\/\/api.aflac.com\/docs\/claimforms\/S00224_ny.pdf\" target=\"_blank\" rel=\"noopener\">AFLAC Initial Disability Claim Form<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-660399d elementor-widget elementor-widget-heading\" data-id=\"660399d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DENTAL\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e243f2f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e243f2f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3102e5f elementor-widget elementor-widget-text-editor\" data-id=\"3102e5f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/www.csealocal880.org\/wp-content\/uploads\/2019\/05\/dental-providers.pdf\" target=\"_blank\" rel=\"noopener\">Dental Providers<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/F-2203-HEALTHPLEX-CLAIM-FORM-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">HEALTHPLEX Dental Claim Form \u2013 F-2203<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d340d22 elementor-widget elementor-widget-heading\" data-id=\"d340d22\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OPTICAL\n\n\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01803e0 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"01803e0\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-445085c elementor-widget elementor-widget-text-editor\" data-id=\"445085c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/GVS.pdf\" target=\"_blank\" rel=\"noopener\">GVS Discount &amp; Providers List (General Vision Screening)<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/VSCREENING.pdf\" target=\"_blank\" rel=\"noopener\">Vision Screening Discount &amp; Providers List<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/HEALTHPLEX-VISION-CLAIM-FORM.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">HEALTHPLEX Vision Claim Form \u2013 F2014.1<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d1bbcd elementor-widget elementor-widget-heading\" data-id=\"4d1bbcd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PEARL INSURANCE\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc9c6eb elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dc9c6eb\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-acf66d9 elementor-widget elementor-widget-text-editor\" data-id=\"acf66d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/DI-Claim-Form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pearl Insurance Disability Income Claim Form<\/a><\/li><li><a href=\"http:\/\/www.csealocal880.org\/wp-content\/uploads\/2016\/03\/Pearl-Carroll-EZ-Pay.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Pearl Insurance EZ-Pay<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Forms &#038; Downloads Workplace, Medical &#038; Insurance Forms CSEA MEMBERSHIP APPLICATION CSEA &#038; TOH FORMS CSEA Retiree Application Family Medical Leave Act (FMLA) &#8211; For Employee Family Medical Leave Act (FMLA) &#8211; For Family Member Vacation In-Lieu of Sick Form\u00a0 Direct Deposit Form Direct Deposit Form (credit union) Catastrophic Leave Application (initial) Catastrophic Leave Application&#8230;<\/p>\n","protected":false},"author":1,"featured_media":14085,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Workplace Downloads and Forms - CSEA Local 880 - Town of Hempstead Employees<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.csea880.org\/downloads-and-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" 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