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Member Forms

Membership Card/Union Dues Authorization/PAF Form


Verizon Forms

Blue Cross Blue Shield Claim Form (side a)

Blue Cross Blue Shield Claim Form (side b)

Dental Claim Form

Vision Claim Form

Tuition Reimbursement Form

Verizon North ADL & CNC Guidelines

Anticipated Disability Forms G2518-ADL

Verizon North FCL Guidelines

FCL Form G2518-FCL 2016

FCL Recertification Form G2518-REC 2016

FMLA Forms

Care For Newborn Children Forms

Concession Form

CSSC Job Sharing Guidelines & Application

Educational/Civic/Military/Personal Leave Form

Dependent Care Enrollment Form and Q & A

Dependent Care Reimbursement Form

2017 Pendant Application

2017 Pendant Quarterly Reimbursement Form

New Career Reimbursement Form (For Retirees)


Company Policies

New England Telephone SNOWSTORM POLICY





Federal/State Policies/Laws

Small Necessities Leave Act-Massachusetts: Time Off for Certain Family Obligations: Workers may have the right to take up to 24 hours of unpaid leave every 12 months for:a child's school activities, a child's doctor or dentist appointment, or an elder relative's doctor or dentist appointment or other appointment related to the elder's care.Workers are eligible for this leave if the employer has 50 or more employees, and if the worker has worked at least 1,250 hours for that employer in the last 12 months.

Note: Workers have the right to this leave in addition to the 12 weeks allowed by the federal Family and Medical Leave Act.


Steward Forms

Membership Card/Union Dues Authorization/PAF

Personnel Records Authorization

Medical Records Authorization

Discussion Form

Grievance Notification

Article 24 Consent

Withdrawal Consent

Grievance Checklist

Grievant's Statements

Grievance Notes

Grievance Report

Grievance Status

Attendance Grievance Number Application 



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