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Application Fee Waiver Request and Certification Form v2

Application form to be completed if candidate is requesting waiver of application fee.

Application for Employment Open-Competitive Exam and Non-Competitive Appointments (cs205a)

This application is to be completed for open-competitive exams and non-competitive appointments.

Application for Veteran's Credit

For use by candidates to accompany military separation papers (Form DD-214) to the Department of Human Resources, Personnel and Civil Service for Claiming Veterans Preference in Civil Service examination.

Authorization for Disability Record (VC-3 Form)

Authorization for Veterans Administration to furnish medical and disability record to the Department of Human Resources, Personnel and Civil Service for Claiming Veterans Preference in Civil Service examination.

Change of Address

For notifying the Suffolk County Department of Human Resources, Personnel and Civil Service of a change of address that will affect the Civil Service eligible list(s) individual is currently on.

Classification Questionnaire

For use by employees looking to have their position reviewed by Civil Service. These forms should also be signed by your supervisor and the appointing authority.

Duties Statement (CS-500 Form)

For Appointing Authority Use Only. To describe the duties to be performed by an employee. Every Classified position requires a Duties Statement.

Name Change Request Form

For notifying the Suffolk County Department of Human Resources, Personnel and Civil Service of a change of name that will affect all Department of Civil Service records including any and all eligible lists an individual is currently on, as well as all employment records for agencies under the authority of the Suffolk County Department of Human Resources, Personnel and Civil Service.

Request for Certification of Eligibles

For Appointing Authority Use Only. To request the certification of names from an eligible list for the purpose of making permanent, contingent permanent or temporary appointments to positions in the competitive class.

Resident Eligibility Verification Form

For Appointing Authority Use Only. Resident Eligibility Verification to be completed at the time of appointment of an eligible in the Non-County Service.

Statement to Accompany Report of Appointment (VC-2 Form)

For Appointing Authority Use Only. To be completed at the time of permanent appointment or permanent promotion by each veteran or disabled veteran appointee who was granted additional credits, as shown on the certification, and is now either using or relinquishing said credits.

Suffolk County Government

H. Lee Dennison Bldg

100 Veterans Memorial Hwy
P.O. Box 6100
Hauppauge, NY 11788

Riverhead County Center

County Road 51
Riverhead, NY 11901