Form Msd 30 PDF Details

State government officials and members of the public gathered today to commemorate the Form Msd 30 historic site. The event, hosted by the state Department of Historical Resources, featured a ribbon-cutting ceremony and keynote address from Governor Roy Cooper. The Form Msd 30 site is now open to the public for self-guided tours. The Form Msd 30 building was erected in 1917 as an agricultural processing plant for Wilson Leather Company, which occupied the premises until 1946. The structure has been vacant since that time, with successive owners undertaking only minimal repairs and leaving it to deteriorate. In 2017, the building was acquired by the state government with plans to rehabilitate it into a visitor center and museum. The rehabilitation project included stabilization of the structure, installation of new roofing and windows, repairs to doors and interior finishes, and construction of new displays and exhibits on the history of Wilson Leather Company and its impact on Nor

QuestionAnswer
Form NameForm Msd 30
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmsd 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

 

 

 

 

 

Send Completed

OCO &MA-MUNICIPAL ASSISTANCE

Fax To:

NYS Department of Civil Service,

Or

Forms To:

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

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

 

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

 

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

3070

Hempstead

 

 

0111

Colonie

 

 

 

 

 

 

 

Code

0820 Chemung Co./Elmira