Forms and Information

If you have any questions, please contact the Human Resources Department at 845-348-2155.

• 2025 Holidays
• Anthem PPO 2025 Benefits MNH and HM
• Anthem EPO 2025 Benefits MNH and HM 
• Authorization for Release of Information
• Benefits Election Form
• Change of Information Form
• Dental Plan 2025 Cigna PPO Overview 
• Dental Plan 2025 Cigna PPO FAQ's
• Dental Plan 2025 - Orthodontics in Progress FAQ's
• Direct Deposit Form
• Elizabeth Brady Lavin Nursing Scholarship Application
• Employee Witholdings IT-2104 
• Employee Witholdings IT-2104 Instructions
• Anthem Enrollment 
• Employee of the Quarter Nomination
• Flu Declination Form
• FMLA and Disability Telephonic Brochure
• Incident Report Form
• Life- AD&D Beneficiary Form
• NYSNA Benefit Package
• NY Paid Prenatal Leave Policy 
• Parking Garage Employee Permit Application
• Parking Garage Notification
• Position Request Form
• Rewards and Recognition
• Richard Kohlhausen Community Champion Award
• Severe Weather Policy
• TASC Flex Spending Election
• The Margaret Mary & Peter Kennedy Nursing Scholarship Application
• Tuition Reimbursement Application
• UNUM Disability Flyer
• W4 2025
• Workers Compensation Claims Carrier - CorVel
• Workers Compensation Reporting Process