SUFFOLK COUNTY MUNICIPAL EMPLOYEES LEGAL SERVICE FUND

Certificates can only be requested, not printed, from this site.

Instructions: 

After checking to see if you qualify for the benefit, enter the name of the person you are requesting the certificate for in the box located on line 1, select the type of certificate wanted by using the pull-down menu on line 2.  Complete the member information and then select the submit button.  You will receive your certificate within 7 business days of your request.   If for some reason the Fund is not able to issue the certificate you are requesting, you will receive an email explaining the reason why.

* These Fields Must be Filled in for your Request to be Processed

(Certificate requests for Tax Preparation Benefits can be found by clicking here)

        Please provide the following information:

   

1.

The Legal certificate that I am requesting is for

*
   

2.

The type of legal certificate that I need is

 *
 

 


MEMBER INFORMATION

Member's Last Name *
Member's First Name *
Middle Initial
Street Address *
City  *
State *
Zip Code *
Member's E-mail *
Day Telephone *
 
   
* These Fields Must be Filled in for your Request to be Processed
SUBMIT ONLY ONE FORM  PER CERTIFICATE TYPE


Revised: 05/01/08