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NJLECOA Health Plan Conversion

See the attached information regarding the health plan conversion.
Download: coltr0222-njlesa-njlecoa-health-plan-conversion.pdf

Covid -19 Update from NJDOC

COVID -19 UPDATE from NJDOC   (1) based on current Covid-19 data within the NJDOC, the Department is planning to resume certain "soft reopenings" on April 1.  This does not currently include visits, nor does it permit volunteers or visitors into the facilities.

PERC Decision COD

Here is the PERC Decision for interim relief for the closing of the COD. Thank you to all of those members who gave input and the information we utilized to make our arguements! It truly was a team effort.
Download: IR-2021-020 PERC Decision COD.pdf

Open Childcare for first responders!

The Coalition of Custody Unions, NJLECOA, NJSOA, NJLESA, PBA 105, request the opening of child care for first responders. Staff can not report to work with the schools closed and child care facilities.
Download: Coalition Letter-Child Care 3.26.2020.pdf

Public Safety Officers Benefit Program

Public Safety Officers' Benefits (PSOB) Program provides death and education benefits to survivors of fallen law enforcement officers

February 28, 2024
UnionActive Police Newswire
Join the Newswire!
Updated: Feb. 27 (22:03)

Sheridan Funeral
Whatcom County Deputy Sheriff's Guild
Voluntary Statements
Duluth Police Local #807
2 cities unite to honor Las Cruces Police Officer Jonah Hernandez at El Paso funeral
El Paso Municipal Police Officers' Association
Funeral Services for Las Cruces PD Fallen Officer Jonah Hernandez
El Paso Municipal Police Officers' Association
Letter To Representative Dean
Pennsylvania State Lodge FOP
Letter To Representative Scanlon
Pennsylvania State Lodge FOP

Order By: [Date] [Name] [Ascendant]

Veterans Preference Claim Fill-In Form
08/20/2010 - 0.06MB
Form used to claim Veterans Preference for NJ Civil Service Exams.
Scholarship Application PDF
10/04/2022 - 0.13MB
Scholarship Application Fill Save
10/04/2022 - 0.04MB
Request for PERS Retirement Estimate Fill-In Form
08/20/2010 - 0.05MB
Form used to request a retirement estimate in the PERS system.
Position Classification Questionnaire
08/20/2010 - 0.11MB
This form is used to obtain information about a position. It will be used to determine the classification or to determine a rate of pay.
PFRS Retirement Application
08/20/2010 - 0.18MB
Form used to file for retirement.
PFRS Disability Retirement Application
08/20/2010 - 0.18MB
Form used to file for a disability retirement.
PERS Retirement Application Fill-In Form
08/20/2010 - 0.11MB
Form used to file for retirement in PERS.
PERS Disability Retirement Application Fill-In Form
08/20/2010 - 0.24MB
Forms used to file for a disability retirement in PERS.
NJLECOA Membership Application Static
11/19/2017 - 0.36MB
NJLECOA Membership Application Fill-Save
11/20/2017 - 0.11MB
Methicillin Resistant Staphylococcus Aureus (MRSA) Questionnaire
08/20/2010 - 0.02MB
This questionnaire is to be completed by each employee who claims exposure to Methicillin Resistant Staphylococcus Aureus (MRSA) while on duty.
Major Disciplinary Appeal Form
05/15/2011 - 0.21MB
NOTE: Your appeal will NOT be processed unless Sections 1-4 are completed and the three documents listed in Section 5 are included. Pursuant to P.L. 2010, c. 26, effective July 1, 2010 there is a $20 fee for disciplinary appeals. Please include the required $20 fee with your appeal. Payment must be made by check or money order only, payable to NJ CSC and sent to the CSC, Unit H, P.O. Box 312, Trenton, N.J. 08625. Persons receiving public assistance pursuant to P.L. 1947, c.156 (C.44:8-107 et seq.), P.L.1973, c. 256 (C.44:7-85 et seq.), or P.L.1997, c.38 (C.44:10-55 et seq.), and veterans as defined by N.J.S.A.11A:5-1 et seq. are exempt from this appeals fee. If you have been suspended or removed, you should seek alternate employment. In case your penalty is reduced, failure to seek alternate employment could reduce your back pay award.
Life Insurance Policy
04/27/2018 - 0.11MB
Leave-of-Absence Request Form (FMLA, FLA, etc.)
08/20/2010 - 0.03MB
Law Enforcement Officer & Firefighter Removal Appeal Form
08/20/2010 - 0.25MB
Use this form to submit an appeal of removal of a law enforcement officer or firefighter to the Office of Administrative Law and Civil Service Commission
Grievance Procedure Form
10/16/2010 - 0.02MB
Change of Beneficiary Form PDF
04/16/2018 - 0.12MB
This form must be completed and signed to change the beneficiary to the life insurance policy
Change of Beneficiary Form Fill Save
04/16/2018 - 0.11MB
This form must be completed and signed to change the beneficiary to the life insurance policy
Certification-of-Healthcare-Provider Form (FMLA)
08/20/2010 - 0.04MB
Form to be filled out by your physician when requesting FMLA
Application to Change or Cancel Retirement
08/20/2010 - 0.02MB
Application to Change or Cancel Retirement.
Appeal of Minor Disciplinary Action
11/11/2010 - 0.21MB
Form used to appeal any notice of suspension or fine of five days or less or an official written reprimand.
Affidavit of Mitigation for Back Pay Form
08/20/2010 - 0.03MB
Form used to receive back pay once you have been returned to pay status.
Request for PFRS Retirement Estimate Fill-In Form
08/20/2010 - 0.03MB
This form is used to request a retirement estimate.
Medical Authorization for Make-Up Promotional Exam
08/20/2010 - 0.03MB
For Make-up Examinations Involving Professional Engineering Promotional Announcements and All Public Safety Announcements.
Application for Lump Sum Earned & Unused Sick Leave for Retirees
08/20/2010 - 0.25MB
Application for Lump Sum Supplemental Compensation for Earned and Unused Sick Leave for Retirees.

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