2. LOCAL-TO-LOCAL CROSS-FILING INSTRUCTIONS:
   If you have applied for an exam in Cayuga County that takes place on the same date as another exam you have applied for in a city or county OTHER THAN CAYUGA COUNTY you must cross-file no later than TWO WEEKS BEFORE the date of the exams. You must notify EACH jurisdiction's service agency with whom you have filed an application of the test site at which you wish to take your exams. Submission of this form constitutes notification to Cayuga County Civil Service for the Cayuga County exam number and title listed below.
4. LOCAL-TO-STATE CROSS-FILING INSTRUCTIONS:
   If you have applied for both State and local government exams that take place on the same day, you must notify EACH local civil service agency of your intent to take both State and local government exams. When taking both a State and local government exam, you will be required to take all of your exams at the State examination center listed on your State admittance letter. Submission of this form constitutes notification to Cayuga County Civil Service for the Cayuga County exam number and title listed below.
6. You must submit a separate form form EACH Cayuga County exam for which you wish to cross-file.
8. First Name*
9. Middle Initial
11. Last Name*
12. Suffix
    -- Select One --Sr.Jr.IIIIIIIVV
14. Email Address*
16. Address*
18. City*
19. State*
20. Zip Code*
22. Phone Number*
23. Fax Number
25. Cayuga County Exam Number*
27. Cayuga County Exam Title*
29. Other Jurisdiction's Exam Number*
30. Other Jurisdiction's Exam Title*
31. Other Jurisdiction's Name*
33. Other Jurisdiction's Exam Number
34. Other Jurisdiction's Exam Title
35. Other Jurisdiction's Name
37. Other Jurisdiction's Exam Number
38. Other Jurisdiction's Exam Title
39. Other Jurisdiction's Name
41. Other Jurisdiction's Exam Number
42. Other Jurisdiction's Exam Title
43. Other Jurisdiction's Name
45. Other Jurisdiction's Exam Number
46. Other Jurisdiction's Exam Title
47. Other Jurisdiction's Name
49. Other Jurisdiction's Exam Number
50. Other Jurisdiction's Exam Title
51. Other Jurisdiction's Name
53. Other Jurisdiction's Exam Number
54. Other Jurisdiction's Exam Title
55. Other Jurisdiction's Name
57. Other Jurisdiction's Exam Number
58. Other Jurisdiction's Exam Title
59. Other Jurisdiction's Name
61. Other Jurisdiction's Exam Number
62. Other Jurisdiction's Exam Title
63. Other Jurisdiction's Name
65. Other Jurisdiction's Exam Number
66. Other Jurisdiction's Exam Title
67. Other Jurisdiction's Name
69. Other Jurisdiction's Exam Number
70. Other Jurisdiction's Exam Title
71. Other Jurisdiction's Name
73. Other Jurisdiction's Exam Number
74. Other Jurisdiction's Exam Title
75. Other Jurisdiction's Name
77. Other Jurisdiction's Exam Number
78. Other Jurisdiction's Exam Title
79. Other Jurisdiction's Name
81. Other Jurisdiction's Exam Number
82. Other Jurisdiction's Exam Title
83. Other Jurisdiction's Name
85. Other Jurisdiction's Exam Number
86. Other Jurisdiction's Exam Title
87. Other Jurisdiction's Name
89. I would like to take all listed at the following jurisdiction's test site:*
91. Attestation*

    1. I attest that I am the applicant listed above informing Cayuga County of my cross-filing status
92. Date*
    Date
Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit Submit and Print

* indicates a required field