PEP Enrollment Forms (11/1-12/12)

Monday, December 12, 2022 - 08:30
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PEP Enrollment Period | November 1– December 12

This program allows you to exchange previously-accrued leave in return for a credit to be applied toward your NYSHIP premium.

Please return completed forms, below, to Carla Sinisgalli (sinisgc@sunypoly.edu) with the subject line "PEP Enrollment Form."

UUP & MC Enrollment Form (pdf)

CSEA & PEF Enrollment Form (pdf)

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