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.

Contact Information

Question Title

* 1. Contact Information

Date of Layoff Notice

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* 2. Date of Layoff Notice

Date of Layoff Notice
Effective Date of Layoff

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* 3. Effective Date of Layoff

Effective Date of Layoff
Date of Hire Into State Service

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* 4. Date of Hire Into State Service

Date of Hire Into State Service
Bargaining Unit

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* 5. Bargaining Unit

Official Duty Station

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* 6. Official Duty Station

Current Job Classification

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* 7. Current Job Classification

Date of Hire Into Current Job Class

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* 8. Date of Hire Into Current Job Class

Date of Hire Into Current Job Class
Are You In Your Working Test Period?

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* 9. Are You In Your Working Test Period?

 
14% of survey complete.

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