Cross-Filer Form

Those who apply for more than one examination offered on the same date by any City, County or State* Civil Service agency located in New York State, must make arrangements to take all the examinations at one test site.  You MUST complete this form and file it at EACH AGENCY no later than two (2) weeks before the test date. 


First Name:            Last Name:   

Address:                City:          State:         Zip:   

Email Address:   

Last 4 digits of Social Security Number:   

Exam Date:      Saturday, September 3, 2011 Select a Date Delete the Date

List ALL examination numbers, titles and Civil Service Agencies for which you have applied:                                                      

EXAM #                                 EXAM TITLE                                                           CIVIL SERVICE AGENCY






I wish to have all these examinations administered by (list only one agency*): 

*Please Note:  If you have applied for both State and local government examinations,  you must make arrangements to take all your examinations at the State examination center by calling toll free at 1-877-697-5627 (press 2, then press 1) no later than two (2) weeks before the test date.