New Jersey Law Enforcement

Commanding Officers Association

P.O. Box 121
Fairton, NJ 08320

(609) 774-3941

Scott.Derby@commandingofficersnj.org

FORMS

	Membership Application Form
	Membership Application Fill-In Form
	Major Disciplinary Appeal Fill-In Form
	Affidavit of Mitigation for Back Pay Form
	Minor Disciplinary Appeal Form
	Grievance Procedure Form
	MRSA Questionnaire for SLI Request
	Leave-of-Absence Request Form (FMLA, FLA, etc.)
	Certification-of-Healthcare-Provider Form (FMLA)
	Medical Authorization for Make-Up Promotional Exam
	Veterans Preference Claim Fill-In Form
	Position Classification Questionnaire
	Request for PFRS Retirement Estimate Fill-In Form
	PFRS Retirement Application
	PFRS Disability Retirement Application
	Request for PERS Retirement Estimate Fill-In Form
	PERS Retirement Application Fill-In Form
	PERS Disability Retirement Application Fill-In Form
	Application for Lump Sum Earned & Unused Sick Leave for Retirees
	Application to Change or Cancel Retirement

© 2008 New Jersey Law Enforcement Commanding Officers Association.  All Rights Reserved.