9/11 WTC Forms
WTC Disability Application for Active Members
WTC Disability Application for Retired Members
Department Forms
FAULTY VEHICLE AIR CONDITIONER
(A.F.L.) APPLICATION FOR LEAVE
FDNY MEDICAL DOCUMENTATION FORM
BIOLOGICAL EXPOSURE REPORT (md-x3)
DONATED SICK LEAVE
REASSIGNMENT REQUEST
REASONABLE ACCOMMODATION APPLICATION
REASONABLE ACCOMMODATION APPEAL
LIFE EVENTS FORMS
RETIREMENT FORMS
1. Retirement Form; goes to Station Captain
a. Go to NYCERS for eligibility of time
b. contact F.D.N.Y. Human Resources to discuss separation date.
2. Health and Benefit Form goes to: hrbenefitsunit@fdnt.nyc.gov
Section J is filled out by the employer and returned to the member. Member emails Form to DC-37 to: EEU@dc37.net for prescription, eye care, and dental benefits.
3. Separation Voucher is to be done by an employee one week before separation from service. The employee does not have to go to M.E.U anymore. Returnable equipment can be given to the station Supervisor but requires a signature by Supervisor as receiving equipment.
4. Annuity Form has directions on the form and is sent in after separation from the service.
5. Notify Local 2507 of retirement date and years of service.
UEPI 2507 Forms
MOS ASSAULTED FORM (PDF for download)
MOS ASSAULTED FORM (fill out online)
PARKING PLACARD APPLICATION – FIRE INSPECTORS
PARKING PLACARD APPLICATION – EMS
9/11 WTC Forms
WTC Disability Application for Active Members
WTC Disability Application for Retired Members
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