Any NEW member hired by the City of New York and being represented by SEIU Local 246 must fill out the four applications in this section and return them to the Union office. This begins your enrollment with the Local. If you have eligible dependents, you must submit a copy of your marriage/domestic partnership certificate and/or birth certificates to the union office. No dependents will be enrolled until the named documents are received by the Union office.
PDF copy of Marriage License or Registration for Domestic Partnership
Social Security numbers and PDF copies of Birth Certificates
Spouses information pertaining to medical insurance, prescription coverage, dental and optical benefits