Forms

The following online forms pertain to members within the Telecommunications and Operator Services Division. Education Division members can retrieve forms at www.gseu.org

 

Below are all the optical, dental and medical forms you need. Just click on the form you need and print it out and bring it with you to the service provider.

 

Having trouble downloading these forms? Just click on the box below..

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Davis Vision Claim Form

 

Dental Expense Claim Form

 

Dependent Care Reimbursement Fund Application

 

DISABILITY Met Life Form

 

DISABILITY Metlife Authorization To Disclose Info

 

F.M.L.A.

 

Verizon claim form Empire Blue Cross Blue Shield

 

Interconnect Group Dental Claim Form

 

Interconnect Medical Claim Form

 

Interconnect Vision Claim Form

 

 

Upcoming Events

General Membership Meeting
American Legion in Massapequa
Retirees Chapter Holiday Luncheon
Domenico's
Stony Brook Hockey Union Night
The Rinx in Hauppauge
Elmira Jackals Hockey game
LI Fed, AFL-CIO Annual Dinner
Crest Hollow Country Club
Bay Shore St. Patrick's Day Parade
Main Street, Bay Shore
Rockville Center St. Patrick's Day Parade
details coming soon