30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Application for Transfer of Member’s Accumulated Salary Deductions to Another Retirement System Within New York State. Member Number Last 4 Digits of SSN. NOTE: If the address you provide on this form is different from your address in our system, the new address will become your official ...Login / Register. Login / RegisterCustomer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.Article 14-B Disability Retirement Application. For county sheriffs, undersheriffs and certain deputy sheriffs whose employers elected coverage under Sections 555, 556, 557 or 558 of the Retirement & Social Security Law (RSSL). This is a two-page form and a HIPAA waiver. Please submit all three pages.Crunches are the classic ab exercise (although planks and push-ups have their fans too). To really target your abs, though, it’s important to use good form. Crunches are the classi...Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.Dec 27, 2023 · The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more Contact link April 19, 2017 The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more Contact link April 19, 20176 reviews and 4 photos of NYCERS "One of the most professional & courteous NYC agencies around. Information can be obtained in person, snail mail, call center, & their …For specific information about your NYCERS account, please contact NYCERS’ Call Center at (347) 643-3000 or visit NYCERS’ Walk-in Center at 340 Jay Street in downtown Brooklyn. ... 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more; Contact link April 19, 2017. Clone of Email. …There are so many different types of forms that you can sell online to make people's lives easier. If you have a law background, or just a knack for creating standard forms, you ca...Dec 27, 2023 · Form. For NYCERS members who wish to apply for reinstatement of a former membership with NYCERS or any other New York City or New York State public retirement system. If you are eligible, reinstatement could change your Tier and membership date, and may affect your contribution rate and retirement benefits. Download PDF. Brochure. In order to begin the process of identifying the decedent and their beneficiaries, and determining the death benefits payable, NYCERS will need some general information, including the decedent’s: Full name. Member number or pension number. Last four digits of their Social Security Number. Date of death. Place of death …Adhere to our easy steps to have your Nycers Form 361 ready quickly: Pick the template from the catalogue. Enter all required information in the required fillable fields. The intuitive drag&drop graphical user interface makes it simple to add or move fields. Ensure everything is filled in appropriately, without any typos or absent blocks.1. Enter your name in the search field below to see if you are listed as a beneficiary; or. 2. Enter the beneficiary’s name if you are the Legal Guardian or have Power of Attorney on their behalf; or. 3. Enter the words Estate Of in the last-name field to find a deceased member whose beneficiary is his/her estate.Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY Page 1 of 1 F205 Birth Evidence Affidavit This affidavit is for members and beneficiaries who are unable to produce a birth certificate or any of the birth evidence documents accepted by NYCERS but can submit three alternative birth records.The adjusted gross income value is one of the most important numbers for every tax filer who files Form 1040. But finding this value may require you to fill out other forms. For th...Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 *371* F371 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number Banking Operations Affidavit Page 1 of 1 To help prevent fraud and ensure your identity is secured, we ask that you complete and return this form to the mailing address below forThis application is for Tier 3 and Tier 4 vested members who wish to receive payment of their Vested Retirement Benefit. When you left City service you filled out a “notice of intention”, form #254, to vest your retirement benefit. It is important that you read the conditions below. Please be sure that you nominate a beneficiary or your ...Dec 27, 2023 · Retirement Option Election Form – Tier 2, Tier 3, and 22-Year Plan – Five-Year and Ten-Year CertainForm #554. This Retirement Option Election Form allows you to elect the Five-Year Certain or Ten-Year Certain Option. By electing this option, you will receive a reduced retirement benefit. If you die within five (or ten) years from the date ... We walk you through when and how to use Form 944, how to fill it out, and when and how it should be submitted. Human Resources | How To Updated July 25, 2022 REVIEWED BY: Charlette...forms online and manage their NYCERS account. Registration instructions are provided on the website. For members who registered before April 2020, a one-time re-registration is required. Terry Members and retirees may chat online with Terry, NYCERS’ Digital Agent, via the MyNYCERS portal at www.nycers.org. Call CenterPlan Enrollment. Loading. Customer Service Center Call Center Hours. Monday-Friday, 8am - 5pm. (347) 643-3000 Within NYC. (877) 669-2377 Toll-Free. (347) 643-3501 TTY. … WWW.NYCERS.ORG NYCERS MY NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Step 4 on next page... 340 Jay Street, Bklyn, NY Mezzanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 Upload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Complete this form in its entirety, sign it, and mail it to NYCERS, 30-30 47th Avenue, 10th Floor, Long Island City, NY 11101. If you wish to file this form in person, visit NYCERS’ Customer Service Center on the Mezzanine level of 340 Jay Street in downtown Brooklyn. Sign this form and have it notarized, THIS PAGENYCERS Members, Your Annual Disclosure Statement Is Ready! ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101 Read more; Contact link December 6, 2016. Main Office. Executive OfficesTax season is fast approaching! Are you ready for it? This article will explain what a W9 form is, who needs to fill one out, and why it's important for businesses and individuals ...Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeSeveral of NYCERS' Designation of Beneficiary forms have a limited amount of space for you to nominate your beneficiaries. Therefore, if you wish to name more beneficiaries than the desi gnation form will allow, use this supplemental form and attach i t to one of the following: NYCERS' Designation of Beneficiary Forms 131, 133, 134The ACFR consists of five sections: the Introductory Section, the Financial Section, the Investment Section, the Actuarial Section, and the Statistical Section. NYCERS has received the Government Finance Officers Association award for achievement in excellent financial reporting every year since 1986. Download the 2023 ACFR. Chat with us.On my census form it says, 'Your response is required by law.' What happens to me if I don't fill it out? Will anyone even notice? Advertisement In the United States, the census is...Application to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (Buyback)Form #241. Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service rendered in a NYCERS-eligible ...Find out how to access NYCERS services, submit forms, and get pension payments online during the COVID-19 crisis. Learn about the temporary changes and exceptions for …Find out how to access NYCERS services, submit forms, and get pension payments online during the COVID-19 crisis. Learn about the temporary changes and exceptions for … INSTRUCTIONS FOR COMPLETING THIS FORM. If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete this form in ink or type. Except for signature, please print all items. At the top of this form, print your Membership #, Social Security #, Date of Birth, name, and complete address. Want to know how to create a contact form in WordPress? Learn how to do so using a simple WordPress form plugin in this guide. Plus, other plugin options. Installing & Customizing ...Dec 27, 2023 · Request for Election or Change of Voluntary Contributions As Provided by the Transit 20-Year Non-Contributory Plan – Tier 1Form #216. As a Tier 1 member of the Transit 20-year Non-Contributory Plan, you may elect to contribute voluntarily at the rates listed in this form. You will enhance your future retirement benefit by contributing toward ... Crunches are the classic ab exercise (although planks and push-ups have their fans too). To really target your abs, though, it’s important to use good form. Crunches are the classi...In order to begin the process of identifying the decedent and their beneficiaries, and determining the death benefits payable, NYCERS will need some general information, including the decedent’s: Full name. Member number or pension number. Last four digits of their Social Security Number. Date of death. Place of death (City/State/Country ...WWW.NYCERS.ORG NYCERS MY NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Step 4 on next page... 340 Jay Street, Bklyn, NY Mezzanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 Upload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets atSelect a transaction below and log in to complete it. Track a Pending Loan, Buyback, Retirement Application, or Option Election. View/Manage My Beneficiaries. Apply for a Loan (Tiers 3, 4, 6) Add/Update My Direct Deposit Information (Retirees) Change My Address/Update My Contact Information. Apply for a Buyback.This brochure describes the obligations and benefits of the Dispatcher 25-Year Retirement Plan for Tier 6 members (6DI-25). This plan allows participants to retire with 25 years of Allowable Service regardless of age and is available only to Dispatcher Members. A Dispatcher Member is a NYCERS member employed by the City of New … address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or Section B): Tax season is fast approaching! Are you ready for it? This article will explain what a W9 form is, who needs to fill one out, and why it's important for businesses and individuals ...The push-up is a basic exercise we all should master. Getting into proper form is essential, and this video provides 3 quick tips for doing it right. The push-up is a basic exercis...address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or …Adhere to our easy steps to have your Nycers Form 361 ready quickly: Pick the template from the catalogue. Enter all required information in the required fillable fields. The intuitive drag&drop graphical user interface makes it simple to add or move fields. Ensure everything is filled in appropriately, without any typos or absent blocks.These are the 46 best HTML Form templates for login forms, signup forms, contact forms, survey forms and more. Trusted by business builders worldwide, the HubSpot Blogs are your nu...Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeTo transfer your New York State and Local Employees’ Retirement System (ERS) or your New York State and Local Police and Fire Retirement System (PFRS) membership to …The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more Contact link April 19, 2017If your bank account information is incorrect, the bank will return the funds to NYCERS electronically, and you will need to contact NYCERS to have a replacement check mailed. ... Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101 Read more; Contact link December 6, 2016. Main Office. INSTRUCTIONS FOR COMPLETING THIS FORM. If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete this form in ink or type. Except for signature, please print all items. At the top of this form, print your Membership #, Social Security #, Date of Birth, name, and complete address. Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeCustomer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.You can place funds in the care of a trustee by creating a legal trust. Some trusts are revocable, meaning that the trust grantor can change the terms of the trust at any time. If ...This application is for Tier 3 and Tier 4 vested members who wish to receive payment of their Vested Retirement Benefit. When you left City service you filled out a “notice of intention”, form #254, to vest your retirement benefit. It is important that you read the conditions below. Please be sure that you nominate a beneficiary or your ...For assistance accessing your MyNYCERS account, contact NYCERS at 347-643-3000. To request a paper application, contact NYCERS’ Call Center or visit us at the Walk-in Center . Print-friendlyDec 27, 2023 · The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more Contact link April 19, 2017 NYCERS USE ONLY Page 1 of 3. Address Apt. Number. *103*. In Care of (if applicable) F103 Application for Membership For NYCERS-Eligible Employees. Agency Pass Number (Transit Only) This application is for City employees who wish to apply for NYCERS membership. You are to also nominate a beneficiary for a de ath benefit payable if you …NYCERS Members with a Member Number or Pension Number can use this form to register for MyNYCERS and securely manage their pension account online. Registration …Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.This form gives the designated beneficiary(ies) of a Tier 2 member who died during active service the opportunity to choose to receive the Ordinary Death Benefit under Section 448 of Retirement and Social Security Law as an annuity, rather than as a lump-sum payment.This form must be filed within 90 days after the date that NYCERS is …For assistance accessing your MyNYCERS account, contact NYCERS at 347-643-3000. To request a paper application, contact NYCERS’ Call Center or visit us at the Walk-in Center . Print-friendly address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or Section B): Dec 27, 2023 · Retirement Option Election Form – Tier 2, Tier 3, and 22-Year Plan – Five-Year and Ten-Year CertainForm #554. This Retirement Option Election Form allows you to elect the Five-Year Certain or Ten-Year Certain Option. By electing this option, you will receive a reduced retirement benefit. If you die within five (or ten) years from the date ... Birth Evidence AffidavitForm #205. Submit this affidavit if you are unable to produce a birth certificate or any of the birthdate evidence documents accepted by NYCERS but can submit three alternative birth records. For a list of acceptable birthdate evidence, see NYCERS’ Birthdate Evidence Alternatives Fact Sheet #709.Dec 27, 2023 · Join NYCERS. Generally, NYCERS membership is open to all employees of the City of New York and Participating Employers except those who are eligible for membership in the Police or Fire Department pension fund, or the Teachers or Board of Education retirement system. Am I required to join NYCERS? Top 10 Reasons to Join NYCERS. Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Freewww.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Mail Completed Forms to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY F204 R /22 Page 2 of 8 Member Number Pension Number Last 4 SSN PRINCIPAL - Sign this form and have it notarized, Page 5Filling out this form and submitting it to NYCERS authorizes: 1. The Office of the Comptroller of the City of New York, on behalf of the New York City Employees' Retirement System (NYCERS) to send my monthly retirement allowance via Electronic Fund Transfer (EFT) to the bank* designated on this form for deposit in my account. 2.Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or …Health Benefits Program. 22 Cortlandt Street, 12th Floor. New York, NY 10007. 3) Inquiries and questions can be emailed to [email protected] - do not send forms through email (see #1 and #2 above) 4) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006. 5) If you are a HIP-HMO member turning 65 ...Dec 27, 2023 · This form gives the designated beneficiary(ies) of a Tier 2 member who died during active service the opportunity to choose to receive the Ordinary Death Benefit under Section 448 of Retirement and Social Security Law as an annuity, rather than as a lump-sum payment. This form must be filed within 90 days after the date that NYCERS is notified ... SBA Form 912 is a statement of personal history used when you apply for an SBA loan. We help you make sense of what the form requires. Financing | Ultimate Guide WRITTEN BY: Tom Th...30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Application for Transfer of Member’s Accumulated Salary Deductions to Another Retirement System Within New York State. Member Number Last 4 Digits of SSN. NOTE: If the address you provide on this form is different from your address in our system, the new address will become your official ... Filling out this form and submitting it to NYCERS authorizes: 1. The Office of the Comptroller of the City of New York, on behalf of the New York City Employees' Retirement System (NYCERS) to send my monthly retirement allowance via Electronic Fund Transfer (EFT) to the bank* designated on this form for deposit in my account. 2. View, download and print F501 - Designation Of Beneficiary(ies) Post-retirement Lump-sum Death Benefit pdf template or form online. 12 Nycers Forms And Templates are collected for any of your needs.Username. Forgot Your Password? Sign Up. City of New York - Employees Retirement System employee? Log In. MyNYCERS Customer Secure Login Page. Login to your …Webform. Complete this form only if you are terminally or gravely ill and need to apply for a Disability benefit, or if you have already applied and need to notify NYCERS of the gravity of your illness. Contact Information. First Name *. Last Name *. Email *. Mobile Number *. Have you applied, or are you planning to apply for a Disability ...The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments. Read more Contact link April 19, 2017Dec 27, 2023 · Application for Membership for NYCERS-Eligible Employees – Tier 3, Tier 4, and Tier 6 Form #103. Form August 29, 2016. ... Forms and Correspondence Mailing Address
Application to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (Buyback)Form #241. Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service …. Postal service sacramento ca
www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at How to Join NYCERS Fact Sheet #754 How to Join NYCERS March 2021 NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Join NYCERS Online It’s easy to join NYCERS online using your smartphone, laptop or tablet. Simply follow the step-by-step instructions below:Discover how form templates can improve user experience and boost conversions for your site visitors, leads, and customers. Trusted by business builders worldwide, the HubSpot Blog...For assistance accessing your MyNYCERS account, contact NYCERS at 347-643-3000. To request a paper application, contact NYCERS’ Call Center or visit us at the Walk-in Center . Print-friendlyR02/17. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101. NYCERS USE ONLY Page 1 of 1. *233*. F233. NYCERS Member Number Last 4 Digits of SSN Employee ID Current Salary First Name M.I. Last Name Address Apt. Number Personnel/Benefits Representative Phone Number E-mail Address Signature of …Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreePlease have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30 …Adhere to our easy steps to have your Nycers Form 361 ready quickly: Pick the template from the catalogue. Enter all required information in the required fillable fields. The intuitive drag&drop graphical user interface makes it simple to add or move fields. Ensure everything is filled in appropriately, without any typos or absent blocks.You may drop off your notarized Loan Application Form #302 in person at NYCERS’ Walk-in Center at 340 Jay Street, Brooklyn, NY 11201. Repayment The current interest rate on a Tier 3, 4 and 6 loan is 6.2% – 6% basic interest rate plus 0.2% mandatory loan insurance premium. All loans except non-performing loans are fully insured 30 daysmust submit NYCERS Change of Repayment Form #309, available at www.nycers.org. Forms can also be requested by phone by calling NYCERS’ Call Center at (347) 643-3000. • Renegotiated Loan: When you are eligible for another loan, you may change your loan repayment schedule by borrowing additional amounts and changing the repayment …Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.This form gives the designated beneficiary(ies) of a Tier 2 member who died during active service the opportunity to choose to receive the Ordinary Death Benefit under Section 448 of Retirement and Social Security Law as an annuity, rather than as a lump-sum payment. This form must be filed within 90 days after the date that NYCERS is notified ...NYCERS WALK-IN and CALL CENTER Hours: Monday & Wednesday 8 am – 6 pm Tuesday & Thursday 8 am – 5 pm Friday 8 am – 3 pm 340 Jay Street, Brooklyn, NY Mezzanine level www.nycers.org (347) 643-3000 30-30 47th Avenue, 10th Floor Long Island City, NY 11101 How to Register for MyNYCERS Brochure #967 – Page 1 How …NYCERS Members, Your Annual Disclosure Statement Is Ready! Your 2023 Annual Disclosure Statement (ADS) is now available in your secure MyNYCERS account! ... Retirement Option Election Form – Tier 4 and Tier 6 – Five-Year and Ten-Year Certain Form #563. Form September 26, 2016.Webform. Complete this form only if you are terminally or gravely ill and need to apply for a Disability benefit, or if you have already applied and need to notify NYCERS of the gravity of your illness. Contact Information. First Name *. Last Name *. Email *. Mobile Number *. Have you applied, or are you planning to apply for a Disability ...Dec 27, 2023 · Find the most common forms and fact sheets for NYCERS retirees, such as change of address, name change, tax withholding, and beneficiary designation. Download or submit online the forms you need for your pension verification, payment, or information request. www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Mail Completed Forms to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY F204 R /22 Page 2 of 8 Member Number Pension Number Last 4 SSN PRINCIPAL - Sign this form and have it notarized, Page 5 Retirees and beneficiaries with a registered MyNYCERS account can change their Federal withholding online instead of submitting this paper form. Form printing instructions: Print the form in color (photocopies and forms printed in black and white will not be accepted ). Print the form on 8.5″ x 11″ paper with the scale set to 100%.R02/17. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101. NYCERS USE ONLY Page 1 of 1. *233*. F233. NYCERS Member Number Last 4 Digits of SSN Employee ID Current Salary First Name M.I. Last Name Address Apt. Number Personnel/Benefits Representative Phone Number E-mail Address Signature of …Dec 27, 2023 · Service Retirement Kits. Members with a registered MyNYCERS account can log in to apply for Service Retirement online instead of submitting a paper application. For paper applications, you may download all the necessary Service Retirement forms at once by downloading a retirement kit below. To transfer your New York State and Local Employees’ Retirement System (ERS) or your New York State and Local Police and Fire Retirement System (PFRS) membership to ….