Instructions

1.  Fill this form out completely. If you can not submit this form online, or if you experience computer/internet errors, please either print and mail the completed form to: CSEA SEIU Local 2001, 760 Capitol Ave, Hartford, CT  06106 or call 800-894-9479 to request a hard copy to be mailed to you.

2.  Contact your union steward immediately.   He/She will ask you a series of questions to make sure that your contractual rights are not being violated.

3.  Immediately write a memo to your agency personnel office stating, "As a member of the (P-4, P3-A, P3-B, Inspector, Corrections Supervisors Council (CSC), Supervising Judicial Marshals (SJM), or State Police Lieutenants and Captains) bargaining unit, I wish to exercise my contractual bumping rights.  Please keep me advised."   Remember: Under CSEA's collective bargaining agreeements, failure to elect to exercise bumping rights is an automatic waiver of your bumping rights.  You should hand deliver the memo to your agency personnel office and retain a date stamped copy for your records.

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* 1. Contact Information

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* 2. Date of Layoff Notice

Date

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* 3. Effective Date of Layoff

Date

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* 4. Date of Hire Into State Service

Date

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* 5. Bargaining Unit

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* 6. Official Duty Station

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* 7. Current Job Classification

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* 8. Date of Hire Into Current Job Class

Date

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* 9. Are You In Your Working Test Period?

 
 14% of survey complete.

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