55bc form 2026

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disability letter from doctor Preview on Page 1

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  1. Click ‘Get Form’ to open the 55bc application in the editor.
  2. Begin by filling in your personal information, including your last name, first name, middle initial, and social security number. Ensure accuracy as this information is crucial for processing.
  3. Complete your mailing address, including city, state, and zip code. This will be used for correspondence regarding your application.
  4. Indicate your willingness to work in specific counties by checking the appropriate boxes provided in the form.
  5. Fill out the Personal Statement of Disability section. Describe how your disability impacts your life and employment opportunities.
  6. If applicable, have your physician complete the Physician’s Questionnaire (Form DPM-60) and attach it to your application before submission.
  7. Review all sections for completeness and accuracy before sending the application to the NYS Department of Civil Service at the specified address.

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Section 55-a of the New York State Civil Service Law allows a qualified person with a certified mental or physical disability to be hired into competitive civil service positions without having to take an exam.
Section 55-b of the New York State Civil Service Law authorizes the New York State Civil Service Commission to designate up to 1,700 positions normally filled through competitive examination to be filled through the appointment of qualified persons with disabilities.
Program Eligibility Participation in the Ability First (55b/c) Program is limited to persons with physical or mental disabilities, who are found otherwise qualified to satisfactorily perform the duties of a position.
This program streamlines the appointment process to allow county agencies, towns, villages, school districts and special districts to hire diverse, qualified permanent employees quickly and without examinations.

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