Change of Personal Information (.pdf)
Employee’s serious health condition, form WH-380-E – download this form from the Department of Labor under Certification Forms
Family member’s serious health condition, form WH-380-F – download this form from the Department of Labor under Certification Forms
FMLA-Military Family Leave for Qualifying Exigency (.pdf)
FMLA-Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave (.pdf)
FMLA-Serious Injury or Illness of a Veteran for Military Caregiver Leave (.pdf)
CSEA has negotiated a new benefit for its members, which is effective July 1, 2018. The Paid Family Policy, Question & Answer Sheet and relevant applications are below.
CSEA Paid Family Leave Policy (.pdf)
CSEA Paid Family Leave - Bonding Application (.pdf)
CSEA Paid Family Leave - Care of a Family Member Application (.pdf)
CSEA Paid Family Leave - FMLA Q&A (.pdf)
CSEA Paid Family Leave - Military Leave Application (.pdf)
CSEA Paid Parental Leave Application (.pdf)
CSEA Short Term Disability (.pdf)
If you have any questions, please call Risk Management at 486-2030 or email us at riskmanagement@dutchessny.gov
