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  • Local Number: 

  • Local Name: 

  • AFT Number: 

  • 2010 Anticipated Entitlement: 

  • 2009 Delegates Reported: 

  • 2009 Alternates Reported: 

  • Reported: You have already reported, and cannot do so again. If you have any questions, please call 1-800-342-9810 ext. 6663

    • - Chairperson
    • Delegate
    • Alternate

  • If the above list of delegates and alternates is correct, click the "Certify" button below.

    • Congratulations, you have certified your delegation for the 2010 RA.


  • Your Confirmation Number is: 
  • Confirmation Date/Time: 
  • Name:  
  • Member ID:
  • Local Number: 
  • Local Name: 
  • A copy of this message has been sent to: 
  • Please print this message for your records.

    • Our records show you do not participate in our programs. If this is incorrect, questions specific to your payroll/pension deduction amount should be directed to Member Benefits. Call (800) 626-8101 weekdays from 9 a.m. to 5 p.m., ET.
    NYSUT Member ID:
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    Address:
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    Local Name:
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    Email:
    Payment Method Eligibility: Direct Bill  Deduction   What's This?

     

     

    Contact: - () -

    • Covered Individual: 
    • Insured Name: 
    • Insured Name: Not available at this time
    • Insured Name: 
    • Relationship:
    • Benefit Amount: $
    • Dependent (child) Amount: $
    • Pay Type:
    • Deductible: $
    • Elimination Period: Days
    • Monthly Benefit: $
    • Daily Benefit: $
    • NYSUT ID:
    • Riders:
    • Dependent Parent:
    • Dependent Child:
    • Effective Date: //
    • Group Plan Name:
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    • Deduction: $
    • Premium: $
     
     
     
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    Congratulations, you have saved your Committee Selections for the 2009 RA.


  • Your Confirmation Number is: 
  • Confirmation Date/Time: 
  • Name:  
  • Member ID:
  • Local Number: 
  • Local Name: 
  • Committee Choice 1:  -
  • Committee Choice 2:  -
  • Committee Choice 3:  -
  • Visitor 1: 
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  • New Delegate Orientation: 
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  • Please print this message for your records.