FORMS & DOWNLOADS Workplace, PAYROLL & INSURANCE FORMS Membership has its privileges! Many of the offers available to Local 880 members can be found here CSEA & TOH FORMS CSEA Retiree ApplicationFamily Medical Leave Act (FMLA) – For EmployeeFamily Medical Leave Act (FMLA) – For Family MemberVacation In-Lieu of Sick Form Direct Deposit FormDirect Deposit Form (credit union)Catastrophic Leave Application (initial)Catastrophic Leave Application (extension)Catastrophic Leave Donation FormAFLAC Withdrawal FormUnited Way WithdrawalPayroll Deduction Form for CSEA Legal Assistance Program PEARL INSURANCE Pearl Insurance Disability Income Claim FormPearl Insurance EZ-Pay NYS RETIREMENT & LOANS Application for Service Retirement – rs6037Electronic Funds Transfer Direct Deposit Enrollment Application – rs6370Retirement Option Election Form For Tier 3, 4, 5 and 6 ERS Members – rs6399 MEDICAL EMPIRE PLAN Participating Provider DatabaseEMPIRE PLAN Pharmacy Reimbursement Claim FormEMPIRE PLAN Health Insurance Claim FormAFLAC Initial Disability Claim Form DENTAL Dental ProvidersHEALTHPLEX Dental Claim Form – F-2203 OPTICAL GVS Discount & Providers List (General Vision Screening)Vision Screening Discount & Providers ListHEALTHPLEX Vision Claim Form – F2014.1