Misc. Forms/Downloads

2014 Dinner Dance College Scholarship Application


Empire Plan CVS/CAREMARK Card


UNUM Application Form and Rate Chart
Unum Enrollment/Adjustment Application for Initial Application/Upgrade or Reduction of Coverage.


2014 UNUM Coverage Notice


2014 Vehicle Identification Request Form

Return via mail, fax, or email scanned copy no later than January 15, 2014. Complete form, print and sign, then attach photo-copy of registration. Please direct inquiries regarding issuance of the placard to Larry Russo's attention. Note only one placard per active member is issued with multiple Plate numbers indicated if necessary.


2013 Hurricane Brochure
Ready New York: Hurricanes and New York City includes general tips on how to prepare for any emergency, instructions on how to develop a hurricane disaster plan and secure your home before a storm, and a map of New York City hurricane evacuation zones.


Bagpipes Band Flyer
Become a member of the The New York State Courts Pipes & Drums


Pistol Public Records Exemption Request
Active peace officers are exempt by law, therefore not effected by this provision. Retirees who wish to keep their gun ownership private should file for the exemption.


2012 TD Bank Flyer


2012 Delegate and Trustees Election Results


Off Duty Application And Policy

Saint Joseph's College Flyer
St. Joseph's College program for any Full-Time NYS COURT CLERKS.


Mt Sinai Health Registry


9-11 FORM
9-11 form to send to retirement system.

New Co-Pay schedule
Co-pay schedule that will be put into effect slowly.


TD Bank Flyer
TD Bank Flyer for Chinatown branch.


Sick Leave Formula for Retirees

Retiree Pamphlet

Madison Planning Flyer



Veteran and Volunteer Fireman Form

You must fill out this form to get credit for veteran or volunteer fireman. You must get a confirmation for human resources that they received the form.




Update Member/Dependant Forms
To View or Download Update forms go Here

Reimbursement Claim Forms
To View or Download Claim forms go Here