The New York State Board of Law Examiners ,Corporate Plaza, Building 3 – 254 Washington Avenue Extension Albany, NY 12203-5195

 
office (518) 453-5990
fax (518) 452-5729
TTY: Call 711 (nyrelay.com)
Phone Hours: Monday - Friday 8:45am – 4:45pm Eastern Time

Proctor Employment Forms

 

Form Description link
Direct Deposit Form To be used for enrollment, changes and cancellations for your check to be directly deposited into your bank account. Link
I9 Form and Instructions Document to verify your identity and employment authorization to work for the NYS Board of Law Examiners as a proctor. Link
I9 Form (only) Document to verify your identity and employment authorization to work for the NYS Board of Law Examiners as a proctor. Link
W4 Form Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes. Link
IT-2104 Employee’s Withholding Allowance Certificate. To be used to indicate your NYS tax withholdings. Link
IT-2104e Certificate of Exemption from Withholding.To be used if you are exempt from NYS tax withholdings. Link
Retirement Notice of Right This form is required for all proctors, even if you are already a member of the New York State & Local Retirement System or a retiree. Please complete the form and return it to:

NYS Board of Law Examiners, Corporate Plaza – Building 3, 254 Washington Ave Ext. Albany, NY 12203, Attn: Employment Verification
Link
Dual Employment Form This form is required for all proctors who are currently employed by another New York State agency. Present this form to your existing human resources department for approval and then send the completed form to:

NYS Board of Law Examiners, Corporate Plaza – Building 3, 254 Washington Ave Ext. Albany, NY 12203, Attn: Employment Verification
Link