Form Msd 30 – Fill Out and Use This PDF

The MSD 30 form, officially known as the "Agency Request for Access to MSD Applications," is a document used within the State of New York by various civil service agencies to request user identification for access to multiple Municipal Service Division (MSD) applications. This crucial form, managed by the Office of Commission Operation & Municipal Assistance, helps ensure that municipal employees can access the data and systems necessary for their roles, thereby maintaining efficient operations and compliance with state regulations, including the Personal Privacy Protection Law. For any municipal employee or civil service agency looking to streamline access to essential data systems, completing and submitting this form is the first step.

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Form Msd 30 PDF Details

In the realm of New York State's civil service framework, the MSD-30 form serves as a critical document designed for municipal employees seeking access to various civil service data systems. Issued by the Office of Commission Operation & Municipal Assistance within the New York State Department of Civil Service, this form is an essential step towards obtaining authorization for the usage of MSD applications. Applicants are required to provide comprehensive user information including their social security number, full name, job title, work phone, email address, and mailing address. The form further outlines a list of specific MSD applications to which access may be granted, such as MSD Online for basic exam results, exam orders, exam status changes, and even annual reports. It embeds a vital acknowledgment of the Personal Privacy Protection Law, ensuring that applicants are aware of how their information will be used and protected. Moreover, an explicit procedure is laid out for agency acknowledgment, necessitating signatures from both the agency data custodian (if applicable) and the chair of the civil service commission or personnel officer, thereby officially authorizing the named individual's access to selected applications. Moreover, this form culminates in a detailed list of agency and area codes, facilitating accurate and efficient application processing. Such meticulous structuring underscores the form's significance in maintaining the integrity and accessibility of civil service operations in New York, reflecting a well-orchestrated effort to uphold both organizational efficiency and individual privacy rights.

Question	Answer
Form Name	Form Msd 30
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	msd 426 form, NYS, New_York, Delaware

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STATE OF NEW YORK	OFFICE OF COMMISSION OPERATION & MUNICIPAL ASSISTANCE
DEPARTMENT OF CIVIL SERVICE
	AGENCY REQUEST FOR ACCESS TO MSD APPLICATIONS
ALFRED E. SMITH STATE OFFICE BLDG.
ALBANY, NEW YORK 12239	“Request for User ID”	MSD-30 (6/10)

Page 1 of 2

User Information

SS #

Name

Last

First

Title

Work Phone

M.I.

E-Mail

Address

Authorized Civil Service User ID

Approved User ID

OCO/MA

AUTHORIZATION

Personal Privacy Protection Law Notification

The information you provide on this application is being requested for the principal purpose of processing a request for access to one or more information data base systems. The information will be used in accordance with Section 96 (1) of the Personal Privacy Protection Law, particularly subdivisions (b), (e) and (f). Failure to provide the information requested may prevent this agency from processing your request. This information will be maintained by the Director, Information Resource Management, NYS Department of Civil Service, Alfred E. Smith State Office Bldg., Albany, NY 12239. For information concerning the Personal Privacy Protection Law, call (518) 457-9375. If you have questions regarding this form, you should contact the Municipal Assistance Section at (518) 473-5139.

Mailing Address

Agency

Name

Bldg./Rm.

Street

City

State

Agency Code

See Page 2

for the code listing.

ZIP Code

Check

Action To Be Taken and Access Privileges

MSD APPLICATIONS

Permissions	New ID	MSD Online(Basic)	Exam Results
	Add	Order Exams	Exam Status
	Change	Exams Online	Annual Reports
	Delete	Exam Scopes	ATAP Exams

Agency Authorization

Acknowledgment by:	Agency Data Custodian (if applicable)

Signature

Name (Please Print)	Date

Completed by:	CHAIR OF THE CIVIL SERVICE COMMISSION / PERSONNEL OFFICER

I authorize the person named above to have access to the application(s) identified above. I am requesting that the Department assign a “User Identification” to this employee.

Signature		Date

Name (Please Print)		Telephone Number

Title		FAX Number
		FAX Number

Send Completed	OCO &MA-MUNICIPAL ASSISTANCE	Fax To:
Send Completed	NYS Department of Civil Service,	Or
Forms To:	NYS Department of Civil Service,	Or
Forms To:	Alfred E. Smith State Office Bldg.	518-473-5017
	Alfred E. Smith State Office Bldg.	518-473-5017
	Albany, NY 12239

STATE OF NEW YORK	OFFICE OF COMMISSION OPERATION & MUNICIPAL ASSISTANCE

	DEPARTMENT OF CIVIL SERVICE	AGENCY REQUEST FOR ACCESS TO MSD APPLICATIONS
	ALFRED E. SMITH STATE OFFICE BLDG.	“Request for User ID”
	ALBANY, NEW YORK 12239	“Request for User ID”	MSD-30 (6/10)
	ALBANY, NEW YORK 12239		MSD-30 (6/10)
INSTRUCTIONS:			Page 2 of 2

Each Municipal Civil Service Agency must complete this form for each employee authorized to have access to MSD On-line or to any of the MSD application(s). After the NYS Department of Civil Service processes this form, a letter will be sent to each individual user notifying him/her of his/her User ID and the applications to which he/she has been granted access.

Fill in your agency code from the listing below. Please note agency codes precede the agency name. If further information is needed, please call the Municipal Assistance Section. The form may be photocopied as needed.

A G E N C I E S

Code
0106	State Police
3100	City University of New York (CUNY)

C O U N T I E S	Code		Code		Code
C O U N T I E S	0100	Albany Co.	2100	Hamilton Co.	4400	Rockland Co.
	0200	Allegany Co.	2200	Herkimer Co.	4500	St. Lawrence Co.
	0400	Broome Co.	2300	Jefferson Co.	4600	Saratoga Co.
	0500	Cattaraugus Co.	2500	Lewis Co.	4700	Schenectady Co.
	0600	Cayuga Co.	2600	Livingston Co.	4800	Schoharie Co.
	0700	Chautauqua Co.	2700	Madison Co.	4900	Schuyler Co.
	0900	Chenango Co.	2800	Monroe Co.	5000	Seneca Co.
	1000	Clinton Co.	2900	Montgomery Co.	5100	Steuben Co.
	1100	Columbia Co.	3000	Nassau Co.	5200	Suffolk Co.
	1200	Cortland Co.	3200	Niagara Co.	5300	Sullivan Co.
	1300	Delaware Co.	3300	Oneida Co.	5400	Tioga Co.
	1400	Dutchess Co.	3400	Onondaga Co.	5500	Tompkins Co.
	1500	Erie Co.	3500	Ontario Co.	5600	Ulster Co.
	1600	Essex Co.	3600	Orange Co.	5700	Warren Co.
	1700	Franklin Co.	3700	Orleans Co.	5800	Washington Co.
	1800	Fulton Co.	3800	Oswego Co.	5900	Wayne Co.
	1900	Genesee Co.	3900	Otsego Co.	6000	Westchester Co.
	2000	Greene Co.	4000	Putnam Co.	6100	Wyoming Co.
			4200	Rensselaer Co.	6200	Yates Co.


C I T I E S	Code		Code		Code
C I T I E S	0110	Albany	3210	Lockport	3630	Port Jervis
	2910	Amsterdam	3020	Long Beach	4210	Rensselaer
	0610	Auburn	4610	Mechanicville	2810	Rochester
	0410	Binghamton	3610	Middletown	3310	Rome
	1510	Buffalo	6010	Mount Vernon	0520	Salamanca
	0120	Cohoes	3620	Newburgh	4620	Saratoga Springs
	3810	Fulton	6020	New Rochelle	3315	Sherrill
	3010	Glen Cove	3220	Niagara Falls	1530	Tonawanda
	5510	Ithaca	0910	Norwich	4220	Troy
	5610	Kingston	4510	Ogdensburg	3320	Utica
	1520	Lackawanna	2710	Oneida	2310	Watertown
			3910	Oneonta	0130	Watervliet
			3820	Oswego	6050	White Plains
					6060	Yonkers

T O W N S	Code		R E G I O N A L
T O W N S	3070	Hempstead	R E G I O N A L
	0111	Colonie

Code

0820 Chemung Co./Elmira

Form Msd 30 – Fill Out and Use This PDF

Form Msd 30 PDF Details

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