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Dc 37 dental forms PDF results

District council 37 health and security plan

Member information: gender: patient information: gender: self spouse/domestic partner child birthday: provider information: last/first name: facility name: street address: spouse / domestic partner information: city/state/zip: gender: npi #: phone #: participating panel dentist: yes no month yes no month 123456789 10111213141516 abc defghij ... state/zip: tooth tooth cavity system patient/guardian signature date for dc37... patient birthday: relationship: tax id#: m f m f all claim forms...

dc 37 at your service

Grievances for grievances and job-related prob- lems, see your shop steward or chap- ter chairperson, or call: blue collar: 212-815-1010 clerical-administrative: 212-815-1020 hospitals: 212-815-1030 manhattan: 212-815-1040 schools: 212-815-1050 white collar: 212-815-1060 health and security plan You may also visit the web at www.dc37.net. forms and optical vouchers only: call 212... family dental centers the dc 37 dental centers, operated by joralemon dental...

dc 37 at your service

Podiatry service the dc 37 podiatry service (foot care) is offered at 115 chambers st., nyc 10007 (212-766-4455) and at 186 joral- emon st., brooklyn, n.y., 11201 (718-625- 2544). for members only. personal service unit professionally trained social work staff can help with emotional and family concerns, alcoholism, drug abuse, health problems and... Family dental centers the dc 37 family dental centers... on health and security plan benefits and forms. if you... legal problems, if you are eligible for dc37's...

District council 37 health and security plan

Member information: gender: patient information: gender: self spouse/domestic partner child birthday: provider information: last/first name: facility name: street address: spouse / domestic partner information: city/state/zip: gender: birthday: npi #: phone #: participating panel dentist: yes no month yes no month 123456789 10111213141516 abc ... member's signature is required on all claim forms, photocopy of signature is not... patient/guardian signature date for dc37 use only...

District council 37 health and security plan 125 barclay street ...

... (last) (first) (m.i.) sex *o male*o female date of birth month day year member's social security number - - home no. street city(borough)... District council 37 health and security plan 125 barclay street, new york, n.y. 10007-2179 (212) 815-1234 tooth system oral cavity tooth surface procedure date...

Request for leave or approved absence

Request for leave or approved absence 1. name(last, first, middle) 2. employee or social security number (enter only the last 4 digits of the social security number (ssn)) 3. organization 4. type of leave/absence(check appropriate box(es) below) date from to accrued annual leave time from to total hours 5. family and medical leave if... ... illness/injury/incapacita tion of requesting employee medical/dental/optical examination of requesting employee care of family member, including medical/dental...

Section 1. type of tlc license - licensing and standards division ...

... vehicle medallion section 2. change of address information section 3. tlc driver license tlc driver license # telephone # ( ) page 1 of 2 sections 1 and 2 are required. in sections 3,4 & 5, fill out changes to information that apply to your license type. Change of address form section 1. type of tlc license first name last name city state zip code city state zip code check all boxes that...

What to do before you are placed off payroll

What to do before you are placed off payroll hhh financial guide to benefits and leaves with resources to get help make sure the following documents are attached: officer checklist phone list of services"what to do before you go off payroll" guide instructions for employee sample letter for employee social services " e mergency" packet dc37... ... request and the second for the s/l time donation forms.)... 718-897-0001 health and security 212-815-1234 (dental... holding up completing this document and advising dc37.

497/02 hr dir bro

I. the following benefit groups are covered by nyship: managerial, non-represented career and salary, organization of staff analysts, non-represented operating supervisors, subway surface supervisor association, transport workers union-local 106-transit supervisor organization (operating and queens division, station supervisor level ii) a. empire... ... to all employees group i plans medical insurance dental... vision and other related benefits 212-815-1234 www.dc37... kiosk locations extranet from home you can print forms...

Of the city university of new york 500 grand concourse, bronx, new ...

Summary of benefits and employment policies college assistants and tutors welcome to hostos community college many of the forms that will be referred to will be available on our website or in human resources office, room b-215 health plan coverage you are entitled to join one of 13 city health insurance plans if you are... Many of the forms that will be referred to will be... c) obtain treatment at any of the two dental centers.... by participating optometrists, opticians or dc37

Union a step closer to residency law

Suffolk, rockland, westchester, orange and putnam counties, a right already extended to uniformed employees and teachers. new members, however would need to remain in the city for several years before being granted this option."unions have fought hard for this bill for years, only meeting with continued resista nce for city council members... ... in "the chief" for the week of february 29, 2008: "dc37... dental, optical and prescription claims for depende nts... download forms - the 2008 express...

Retirement systems (continued)

Benefits at a glance full-time classified managerial staff the university benefits office office of human resources management summer 2009 the city university of new york (cuny) offers benefits to its eligible active full-time classified managerial staff 1 members and their eligible dependents. this summary is designed to introduce you to basic... ... available to employees enrolled in ghi-cbp/ebcbs dental... title, your welfare fund will change from dc37 health... another college, will i need to complete additional forms...

Local launches massive voter registration drive

Newsline local 237 internationalbrotherhoodo fteamstersvol. xxxvii, no. 11 november 2003"because of the bush administration's direct frontal assault on union membership, more and more jobs are leaving this country every day," president carl haynes pointed out last month. "union members must realize that they have it in their power to help... ... benefits directly by the fund's in-house staff, as well as prescription and dental... because of failure to provide accurate answers on vendex forms, thus concealing...

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