Home
Forms Library
1199 job application form

Get the up-to-date 1199 job application form-2025 now

1199 job application form Preview on Page 1

Show details

4.4 out of 5

30 votes

The document is a job applicant form from the 1199SEIU Health & Human Service Employment Center in New York. It outlines the application process for various job positions, including part-time and temporary roles in dietary, housekeeping, nursing, clerical work, and skilled maintenance. The form requires personal information, employment history, and education details from applicants. It specifies that full-time positions are not available in certain departments and emphasizes the need for flexibility in work hours. Additionally, it includes a Spanish translation of key points regarding job availability.

Here's how it works

01. Edit your 1199 job application form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send 1199 job application form via email, link, or fax. You can also download it, export it or print it out.

How to change 1199 job application form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork requires just a few simple clicks. Follow these quick steps to change the PDF 1199 job application form online for free:

Sign up and log in to your account. Log in to the editor using your credentials or click Create free account to evaluate the tool’s features.
Add the 1199 job application form for editing. Click the New Document button above, then drag and drop the file to the upload area, import it from the cloud, or using a link.
Adjust your file. Make any changes needed: insert text and images to your 1199 job application form, highlight important details, remove parts of content and substitute them with new ones, and add symbols, checkmarks, and areas for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super intuitive and efficient. Try it out now!

See more 1199 job application form versions

We've got more versions of the 1199 job application form form. Select the right 1199 job application form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.4 Satisfied (30 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is it secure to sign my [KEY] electronically?

You need to use only reliable software solutions with strong data protection compliance to sign your documents electronically. DocHub is just the type of software you need! It stores data on Amazon Web Servers and complies with all required security criteria and eSignature laws, so it’s a trusted way to electronically sign your [KEY] or other documents using this tool.

How do you fill out [KEY] on Android?

It is a no-brainer on a computer or via a mobile phone to fill out a [KEY] with DocHub. All you need to do is open any installed internet browser on your smartphone and proceed to the DocHub site. Once authenticated, add your document and open it in editing mode. Use our toolbar to make your edits and save changes. Optionally, keep your file in your files or send it to a recipient on the spot.

How do I contact 1199 member customer service?

If you need assistance or for more information, call the Member Assistance Program at (646) 473-6900.

What is the payer ID for 1199?

Claims submission: .ChangeHealthcare.com, payer ID# 13162.

Does 1199 cover spouses?

You will receive a monthly pension payment until your death, and after that, your spouse or beneficiary will receive the same monthly payment that you did, until his or her death. This option will give you the lowest monthly payment, but will provide for your spouse or beneficiary for the rest of his or her life.

How do I get my 1199 member ID?

Your Member ID is a ten-digit number beginning with 9 that appears on your Health Benefits ID card.

Can anyone join 1199?

Now, as then, 1199ers believe that every personno matter what color you are, where you are from, who you love, or how you worshipdeserves their shot at the American Dream.

How do I check my 1199 benefits?

To check 1199SEIU patient eligibility, benefit and claim status information, please visit our provider portal at .NaviNet.net, or call (888) 819-1199 to be connected to our 24-hour automated claims and eligibility system.

How much is 1199 reimbursement?

Eligible 1199SEIU members may receive reimbursement for certain licensure and certification fees. Dietitians: Up to $179 every three (3) years for the New York State licensure fee and up to $60 annually for the Commission on Dietetic Registration (CDR) credentialing fee.

Who is eligible for 1199SEIU member?

The 1199SEIU Benefit Funds are the primary payer for working members and their spouses age 65 and over who may be covered by Medicare. They are eligible for the same coverage as any other working member or spouse.

Get the up-to-date 1199 job application form-2025 now

Here's how it works

How to change 1199 job application form online