Get Please Print Legibly - Department Of Civil Service - Cs Ny
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How to fill out the Please Print Legibly - Department Of Civil Service - Cs Ny online
This guide provides a clear and supportive overview for filling out the Please Print Legibly form issued by the Department of Civil Service in New York. Follow these steps to ensure your request regarding life insurance coverage after retirement is processed correctly.
Follow the steps to complete your form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- In Section I, A–Enrollee Information, fill out all required fields: Social Security number, last name, first name, street address, city, state, ZIP code, middle initial (MI), and telephone number.
- In Section I, B–Enrollee Continuation/Conversion/Cancellation of Life Insurance Coverage, carefully read the instructions and select one of the three options by checking the appropriate box: Option 1 for continuation, Option 2 for conversion, or Option 3 for cancellation.
- After selecting your option, sign and date the form at the designated area. Ensure that your signature is clear and legible.
- In Section II, if you are an agency representative, complete the agency code, agency name, retirement date, last day worked, authorized agency signature, last check date, title, and date.
- Review the completed form for accuracy and completeness before submission.
- Once verified, submit the form to your agency's benefits administrator either online or in person. Retain a copy for your records.
Complete your form online today to ensure a smooth transition to retirement and continuation of your life insurance coverage.
NYS Civil Service refers to the system established to ensure that state government jobs are filled based on merit. It provides a structured process for hiring, promoting, and managing public employees. The NYS Civil Service aims to maintain a qualified workforce that serves the public effectively. As you navigate their processes, please print legibly to enhance clarity and communication.
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