Department Resources / Employee Resources / Forms

Employment
BP 150-Request for Permission to Engage in Extra -Departmental Employment

Leave
Bereavement Leave
Jury Leave
BP 131 - Request for Military Leave
BP 603 - Emergency Leave Request
BP 604 - Special Vacation Request
Returning to Duty From Vacation Leave Interrupted by Medical Leave
Request for leave form
Vacation Leave Interupted by Medical Leave

Mutuals
BP 394 - Request for mutual with self (firefighter)
Request for mutual schedule exchange

Health
Health Benefits application
Medical Documentation Form

The health benefits unit within the FDNY Office of Personnel provides coordination of all health coverage benefits for FDNY employees and their families. You may call if you have any questions about the specific coverage you and your family have (Blue Cross, GHI, HIP Prime HMO, Oxford, US Healthcare, Signa, Vytra, etc.), the type and extent of health coverage, who is the provider of your medical services (union versus FDNY \ City of New York).

City of New York health benefits cover doctor and hospital visits; Union benefits cover dental, prescription, and vision. Full time staff is available at FDNY Headquarters at 9 MetroTech Center, Brooklyn and may be called Monday to Friday 9:00 am to 5:00 p.m.