Nycers forms

Find the 20 most requested forms and documents for NYCERS members, retirees, and beneficiaries. Download or apply online for direct deposit, loan, buyback, retirement option, name change, and more.

Nycers forms. Health Benefits Program. 22 Cortlandt Street, 12th Floor. New York, NY 10007. 3) Inquiries and questions can be emailed to healthbenefits@olr.nyc.gov - 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 ...

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 Personnel/Benefits ...

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 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.Your Tier is generally determined by your title and the date you joined NYCERS, as follows: Tier 1 – Members who joined NYCERS prior to July 1, 1973. Tier 2 – Members who joined NYCERS between July 1, 1973 and July 26, 1976, and DA Investigators who joined NYCERS between July 1, 1973 and March 31, 2012. Tier 3 – … this form is different from your address in our system, the new address will become your official address in our records. Should you have any questions, please contact our Call Center at 347-643-3000. I request that my name be changed on NYCERS' records from: First Name M.I. Last Name First Name M.I. Last Name To: First Name M.I. Last Name www .nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at Page 2 of 2 Member Number Last 4 Digits of SSN I am a Tier 6 member enrolled in the following retirement plan [check only one]: Basic 63/5 Plan Transit 25-Year/Age 55 Plan TBTA 20-Year/Age 50 Plan Dispatcher 25-Year PlanForm #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.

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 …Application to Change Federal Income Tax WithheldForm #349. Use this form to change how much Federal income tax is withheld from your monthly pension check. If you need assistance in determining which tax withholding selections to make, please consult with a professional tax preparer or visit the Internal Revenue Service (IRS) website at www ... 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. 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 OfficesWe 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...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.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, 2017Planets and how they form are explained in this article from HowStuffWorks. Learn about planets and planet formation. Advertisement It's staggering to imagine a time when the Earth...

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 …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 ...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. 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

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NYCERS USE ONLY R01/23 ail ompleted Forms to: 3-3 4th Avenue, th Fl ong Island City, NY 1101 *266* Application for Payment of a Tier 3, 4, 6 or 22-Year Plan Vested Retirement Benefit Page 1 of 4 This application is for Tier 3, 4, 6 and 22-Year Plan vested members who wish to receive payment of their Vested Retirement Benefit.NYCERS has contracted with Giact Systems to provide bank account verification services to enable this online transaction. By using this Online EFT Service and providing your bank account details through the online form, you agree that NYCERS will share your bank account details with Giact Systems for verification and validation purposes only ...Looking to customize your form submission notifications? Check out this guide to how Workflows can help you create tailored form notification emails! Trusted by business builders w...Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Freeday 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 ...

Planets and how they form are explained in this article from HowStuffWorks. Learn about planets and planet formation. Advertisement It's staggering to imagine a time when the Earth...6 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 …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, 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 has contracted with Giact Systems to provide bank account verification services to enable this online transaction. By using this Online EFT Service and providing your bank account details through the online form, you agree that NYCERS will share your bank account details with Giact Systems for verification and validation purposes only ...Here are the questions most often asked by NYCERS members (and the answers!). Because laws are constantly changing and the variety of plans is vast, all answers should be read as introductory rather than definitive. For specific information about your NYCERS account, please contact NYCERS’ Call Center at (347) 643-3000 or visit …9th Floor. New York, NY 10004. (718) 999-2327. www.fdny.org. You can also request EFT application forms by emailing the Community Action Center at [email protected] or call (212) 669-3916; (800) 800-6385 from out of NYC; (212) 669-3450 TTY. Electronic Fund Transfer (EFT) of monthly retirement allowance is offered to retired New York ...NYCERS USE ONLY F137 > If you need assistance completing this form please contact NYCERS at 347-643-3000. > Complete the Designation of Guardian form in ink or type. Except for signature, please print all items. > At the top of the form, print your Membership #, last 4 digits of Social Security #, Date of Birth, name and complete address.Dec 27, 2023 · WTC Agency ReportForm #623. This form is to be completed by the agency whose employee (or former employee) has filed a Notice of Participation with NYCERS indicating that he/she participated in WTC Rescue, Recovery or Clean-Up Operations during certain qualifying periods between September 11, 2001 and September 12, 2002. Download PDF. Form. Application for Service Retirement – Tier 2, Tier 3, Tier 4, and Tier 6. Form. Application for members who wish to apply for Service Retirement . Members with a …

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.

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.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 …www.nycers.org M - F, am to pm Forms, Brochures, Fact Sheets at NYCERS USE ONLY F521 R01/23 Page 2 of 4 Member Number Last 4 Digits of SSN If this beneficiary is under the age of 21, you have the option to name a guardian of the property of the minor by checking this box and completing Form #137.Please Submit your forms as follows: 1) Inquries and questions can be sent via email to the Plan. 2) Forms/documents can be sent via email to [email protected]. Please only include the last 4 digits of your Social Security number, along with your name and address on all forms. Forms can also be faxed to 844-299-2362.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 ... MyNYCERS Registration. 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 takes 3-5 minutes. If you need to enroll as a NYCERS Member, please apply here. 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 · 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. 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... 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.

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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. Incfile offers free LLC formation, a registered agent, compliance, and startup services in one place. All for $0 plus the state fee to start. Filing costs for forming an LLC range ...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 CenterMail 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.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.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...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 ...www.nycers.org M - F, am to pm Forms, Brochures, Fact Sheets at NYCERS USE ONLY F521 R01/23 Page 2 of 4 Member Number Last 4 Digits of SSN If this beneficiary is under the age of 21, you have the option to name a guardian of the property of the minor by checking this box and completing Form #137.This brochure describes the obligations and benefits of the Triborough Bridge and Tunnel Authority (TBTA) 20-Year/Age 50 Retirement Plan for Tier 6 members (6TB-20). This plan allows participants to retire with 20 years of Credited Service (all service) and at least age 50. The 6TB-20 plan is available ONLY to those employed in a TBTA Eligible ... ….

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 daysDec 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 ... 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.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.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...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. …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 …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 forms, Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 I understand that by signing this form, I am confirming that the information on this form, to the best of my knowledge, is correct. NYCERS USE ONLY F181 Member Number Last 4 Digits of SSN Page 2 of 2 Sign this form and have it notarized, THIS PAGE , 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 · 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. , 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, 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 · 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. , 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 …, 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, before completing this form. Return this form to NYCERS along with your discharge papers (DD214) for review. NOTE: If the address you provide on this form is different from your address in our system, the new address will become your official address in our records. If you have any questions, please contact NYCERS' Call Center at 347-643-3000., About the Bureau of Asset Management. The Comptroller is by law the custodian of City-held trust funds and the assets of the New York City Public Pension Funds, and serves as Trustee on each of the funds. Further, the Comptroller is delegated to serve as investment advisor by all five pension boards. The Comptroller’s Bureau of Asset ..., 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., 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 title.. Members with a registered MyNYCERS account can apply for a buyback online instead …, For NYCERS members who are eligible for membership in the NYC Teachers Retirement System and elect to remain a member of NYCERS as a Transferred Contributor. ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101, 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 , Learn about the different pension plans for NYC employees, including NYCERS, which covers most civilian employees. Find links to each plan's website and contact information., 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., 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 , 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 ... your retirement application or Form #349 (Application to Change Federal Income Tax Withheld) to have taxes withheld on a different basis, or, that no taxes be withheld., 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 …, 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, 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., Insider is looking for nominations for the 2023 edition of our list of the 30 people under 40 who are shaping the future of healthcare. Jump to Insider is looking for nominations f..., 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., Because laws are constantly changing and the variety of plans is vast, all answers should be read as introductory rather than definitive. 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. Read more., 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., 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., Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 *355* F355 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number Payroll Verification 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, 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, WTC Agency ReportForm #623. This form is to be completed by the agency whose employee (or former employee) has filed a Notice of Participation with NYCERS indicating that he/she participated in WTC Rescue, Recovery or Clean-Up Operations during certain qualifying periods between September 11, 2001 and September 12, 2002. Download PDF. Form., INTRODUCTION. This booklet is called a Tier 2 Summary Plan Description or SPD for short. It is published by the New York City Employees’ Retirement System (NYCERS), and is intended to summarize all of the provisions relating to retirement plans, programs and other benefits offered to New York City employees who became members …, Learn how to create web forms with Bootstrap CSS using form classes. Trusted by business builders worldwide, the HubSpot Blogs are your number-one source for education and inspirat..., 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. , Q: How can I submit forms, documents, or other correspondence to NYCERS? During the COVID-19 pandemic, NYCERS is processing incoming US mail at a slower pace. Please use the new, expanded MyNYCERS services to submit the following forms online.