55bc form 2026

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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