Nycers forms

NYCERS 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 Offices

If this beneficiary is a minor, check here and complete the guardian information on Form #137. If Form #137 is not submitted, NYCERS will require letters of Guardianship for the Estate of a minor in order to pay a benefit to a minor. First Name M.I. Last Name Address Apt. Number Ten-Year Certain Primary Beneficiary City State Zip Code 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. 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.Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170.10 per month ($170.10 x 12 months = $2,041.20), excluding any penalties and late enrollment fees, and subject to be pro-rated. 2022 Medicare Part B reimbursements were issued in April 2023.Jul 1, 2020 · Mail completed form to: 30-30 47th Avenue,10th Fl Long Island City, NY11101 *302* F302 Page 1 of 4 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number If you have an official seal, affix it Signature of Notary Public or Commissioner of Deeds Official Title Expiration Date of Commission

If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete the Designation of Beneficiary form in ink or type. Except for signature, please print all items. At the top of the form, print your Membership #, Social Security #, Date of Birth, name and complete address. In each designation, Primary and Contingent ...Forms,Brochures, Fact Sheets at. www.nycers.org 30-30 47th Avenue, 10th Floor Long Island City, NY 11101. The Road to Your NYCERS Re rement — Fact Sheet #716. ESTABLISH YOUR EFFECTIVE DATE OF RETIREMENT. Your Benefits Coordinator will work with your payroll department to determine your leave balances and last day on …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, 2017You 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 daysFilling 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.Form. NYCERS encourages all active, vested or retired members (retired after 9/11/01) who participated in WTC Rescue, Recovery or Clean-up Operations between September 11, 2001 and September 12, 2002 to file a Notice of Participation Form #622 before September 11, 2026. This form is not a disability application. It is simply a …Authorization for Release of InformationForm #615. Authorization for Release of Information. Form. Use this form to authorize the New York City Employees’ Retirement System (NYCERS) to provide information and/or records to someone other than the NYCERS member, retiree or beneficiary. Download PDF.

If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete the Designation of Beneficiary form in ink or type. Except for signature, please print all items. At the top of the form, print your Membership #, Social Security #, Date of Birth, name and complete address. In each designation, Primary and Contingent ... With just a few clicks you can: Check the status of your transactions, such as retirement applications and address change requests. View select documents, such as 1099-R …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.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 …

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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.Form #341 For members who have at least five but less than ten years of Credited Service and wish to terminate their membership by withdrawing their accumulated member contributions . Note : By filing this form and withdrawing your contributions, you will waive your right to a Vested Retirement Benefit.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.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.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.

NYCERS’ online loan application enables Tier 4, Tier 6 and eligible Tier 3 members with a registered MyNYCERS account to log in to their accounts, calculate various loan options, and then apply for a loan online. If you apply online and select Direct Deposit (Electronic Funds Transfer, or EFT), your loan will be processed in three (3) business … NYCERS encourages all members to hand deliver any applications that are time sensitive to NYCERS’ Customer Service Center. You take considerable risk of undocumented or lost applications when mailing such documents. NYCERS’ Customer Service Center Express Lane is designated to accept applications and will provide Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 Address Apt. Number *290* F290 Change of Address Form Page 1 of 1 IN CARE OF (IF APPLICABLE) Previous Address: NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number City State Zip Code New Address: IN CARE OF (IF APPLICABLE)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 ...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.About NYCERS. The New York City Employees’ Retirement System (NYCERS) was founded by the New York State Legislature in 1920 with 13,331 members. Today, NYCERS has grown into the largest municipal public employee retirement system in the United States with more than 350,000 active members and retirees including civilian …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.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%. www .nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at *351* This form is to be completed annually by all Tier 3, Tier 4 and Tier 6 Disability Retirees. The purpose of this form is to verify your eligibility for continued disability benefits by reporting any Personal Service Income you received throughout the year. If If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete the Designation of Beneficiary form in ink or type. Except for signature, please print all items. At the top of the form, print your Membership #, Social Security #, Date of Birth, name and complete address. In each designation, Primary and Contingent ...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

30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Member Number OR. Pension Number. Last 4 Digits of SSN. If the foregoing Primary beneficiary(ies) should predecease me, I hereby nominate the following as Contingent beneficiary(ies) for the above Post-Retirement Lump-Sum Death Benefit. First Name. M.I.

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 …This form may be used in conjunction with any of NYCERS’ Designation of Beneficiary Forms (such as form 131,133,134) Member Information: I, the undersigned member of …An explanation of what documents NYCERS will accept from members, retirees, or beneficiaries as proof of their name (not proof of date of birth) or change of name. Download PDF; ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101When an employer hires a worker, the law requires that taxes be withheld from the employee’s paycheck. To properly calculate the amount to withhold, the employer must use the worke...R11/16/12. Page 1 of 2. NYCERS USE ONLY. F351. Pension Number. Last 4 Digits of SSN. B. If you filed a Federal Income Tax Return for 2012, you must submit a copy of your Tax Return and your W-2 forms. If you are married and filed a joint return, you must also submit a copy of your spouse's W-2 forms.Form #601 - Application for Disability Retirement for Tier 1 Members Form #606 - Physician’s Report of Disability Form #608 - General Authorization for Medical Information Form #609 - Questionnaire – Applicants for Disability Retirement Form #615 - Authorization for Release of Information Brochure #921 - Disability Retirement – Tier 1 …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.Form. NYCERS encourages all active, vested or retired members (retired after 9/11/01) who participated in WTC Rescue, Recovery or Clean-up Operations between September 11, 2001 and September 12, 2002 to file a Notice of Participation Form #622 before September 11, 2026. This form is not a disability application. It is simply a …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):

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day after your last day on payroll will be your retirement date – that is the date you should put on your NYCERS service retirement application form – Form #511 for Tier 1 members, and Form #521 for Tiers 2, 3, 4 and 6 members. The usage of leave balances can also affect your retirement date. Most non-managerial employees remain on payroll ...62/5 Retirement Plan for Tier 4 MembersBrochure #946. The 62/5 Retirement Plan, also referred to as the Basic Tier 4 Plan, allows participants to retire with a full pension at age 62 with at least five years of Credited Service, or with a reduced pension between the ages of 55 and 61. Download PDF. Fact Sheet 754.The NYCERS Tier 4 plan includes provisions relating to retirement plans, programs, and other benefits offered to New York City employees who become members of the system on and aft...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 5Mail completed Disability Applications to NYCERS at 30-30 47th Ave., Suite 1010, Long Island City, NY 11101. ... File NYCERS WTC Notice of Participation Form #622 by ...NYCERS Members, Your Annual Disclosure Statement Is Ready! Your 2023 Annual Disclosure Statement (ADS) is now available in your secure MyNYCERS account! ... Form #254. Form September 26, 2016. For Tier 3, Tier 4, Tier 6 and 22-Year Plan members who wish to vest their retirement benefit. Vesting refers to your right to receive plan …You must complete the Colorado form 104 2021 version if you have earned some or all of your income from the state. It does not matter whether you are a full-time or part-time resid...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 ...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.NYCERS Members, Your Annual Disclosure Statement Is Ready! ... Form #321. Form October 3, 2016. If you accept another position with the City or State of New York (or any of its political subdivisions) that entitles you to membership in another City or State retirement system, you may use this form to transfer your NYCERS membership … ….

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 …If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete the Designation of Beneficiary form in ink or type. Except for signature, please print all items. At the top of the form, print your Membership #, Social Security #, Date of Birth, name and complete address. In each designation, Primary and Contingent ...About NYCERS. The New York City Employees’ Retirement System (NYCERS) was founded by the New York State Legislature in 1920 with 13,331 members. Today, NYCERS has grown into the largest municipal public employee retirement system in the United States with more than 350,000 active members and retirees including civilian employees such as ...Forms Language ኣማርኛ (Amharic) العربية (Arabic) Tagalog (Filipino) 中文 (Chinese, Simplified) 中文 (Chinese, Traditional) हिन्दी (Hindi) 日本語 (Japanese) …Dec 27, 2023 · 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. 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.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.NYCERS USE ONLY F203 R /22 340 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 Page 1 of 1 Mail Completed Forms to: 30-30 47th Avenue, 10th Fl Nycers forms, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]