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New York City Employees' Retirement System Forms

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Form F624 Application for Disability Retirement - Tier 6 63/5 and Special Plan Members - New York City PDF

Form F624 Application for Disability Retirement - Tier 6 63/5 and Special Plan Members - New York City
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Form F101 Application for Membership - Tier 1 and Tier 2 Members - New York City PDF

Form F101 Application for Membership - Tier 1 and Tier 2 Members - New York City
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Form F103 Application for Membership for Nycers-Eligible Employees - New York City PDF

Form F103 Application for Membership for Nycers-Eligible Employees - New York City
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Form F602 Application for Disability Retirement Tier 2 Members - New York City PDF

Form F602 Application for Disability Retirement Tier 2 Members - New York City
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Form F521 Application for Service Retirement Tier 2, 3, 4 and 6 Members - New York City PDF

Form F521 Application for Service Retirement Tier 2, 3, 4 and 6 Members - New York City
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Form F367 Selection by Designated Beneficiary of Benefits Under Option One Payable as an Annuity Under Option B - New York City PDF

Form F367 Selection by Designated Beneficiary of Benefits Under Option One Payable as an Annuity Under Option B - New York City
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Form F512 Application for Service Retirement - Tier 1 Members of the Nyc Transit Authority - New York City PDF

Form F512 Application for Service Retirement - Tier 1 Members of the Nyc Transit Authority - New York City
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Form F254 Notice of Intention to File for a Tier 3, 4, 6 or 22-year Plan Vested Retirement Benefit - New York City PDF

Form F254 Notice of Intention to File for a Tier 3, 4, 6 or 22-year Plan Vested Retirement Benefit - New York City
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Form F615 Authorization for Release of Information - New York City PDF

Form F615 Authorization for Release of Information - New York City
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Form F204 Special Durable Power of Attorney - New York City PDF

Form F204 Special Durable Power of Attorney - New York City
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Form F203 Affidavit That Power of Attorney Is in Full Force - New York City PDF

Form F203 Affidavit That Power of Attorney Is in Full Force - New York City
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Form F622 Notice of Participation in Wtc Rescue, Recovery or Clean-Up Operations - All Tiers - New York City PDF

Form F622 Notice of Participation in Wtc Rescue, Recovery or Clean-Up Operations - All Tiers - New York City
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Form F352 Election by a Retiree Reentering City Service to Rejoin Nycers - New York City PDF

Form F352 Election by a Retiree Reentering City Service to Rejoin Nycers - New York City
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Form F353 Certificate of Employment Under 212 of the Retirement and Social Security Law (Rssl) - New York City PDF

Form F353 Certificate of Employment Under 212 of the Retirement and Social Security Law (Rssl) - New York City
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Form F604 Application for Disability Retirement Members of Tier 4, and Tier 4 With Tier 3 Rights - New York City PDF

Form F604 Application for Disability Retirement Members of Tier 4, and Tier 4 With Tier 3 Rights - New York City
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Form F624 Application for Disability Retirement - Tier 6 63/10 and Special Plan Members - New York City PDF

Form F624 Application for Disability Retirement - Tier 6 63/10 and Special Plan Members - New York City
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Form F341 Waiver of Right to a Vested Retirement Benefit - All Tiers - New York City PDF

Form F341 Waiver of Right to a Vested Retirement Benefit - All Tiers - New York City
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Form F351 Affidavit of Personal Service Income - Tier 3, Tier 4 and Tier 6 Disability Retirees - New York City, 2021 PDF

Form F351 Affidavit of Personal Service Income - Tier 3, Tier 4 and Tier 6 Disability Retirees - New York City, 2021
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Form F349 Federal Tax Withholding Change - New York City PDF

Form F349 Federal Tax Withholding Change - New York City
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Form F350 Safeguards Information Affidavit - Tier 1 & 2 - New York City, 2021 PDF

Form F350 Safeguards Information Affidavit - Tier 1 & 2 - New York City, 2021
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Form F521 Application for Service Retirement Tier 2, 3, 4 and 6 Members - New York City PDF

Form F521 Application for Service Retirement Tier 2, 3, 4 and 6 Members - New York City
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Form F511 Application for Service Retirement - Tier 1 - New York City PDF

Form F511 Application for Service Retirement - Tier 1 - New York City
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Form F602 Application for Disability Retirement - Tier 2 Members - New York City PDF

Form F602 Application for Disability Retirement - Tier 2 Members - New York City
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Form F601 Application for Disability Retirement - Tier 1 Members - New York City PDF

Form F601 Application for Disability Retirement - Tier 1 Members - New York City
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Form F603 Application for Disability Retirement - Tier 3 Uniformed Correction Force Only - New York City PDF

Form F603 Application for Disability Retirement - Tier 3 Uniformed Correction Force Only - New York City
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Form F625 Application for Disability Retirement - 22-year Plan Members - New York City PDF

Form F625 Application for Disability Retirement - 22-year Plan Members - New York City
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Form F626 Application for Disability Retirement - 22-year Plan Members Enhanced Disability Benefit Participants Only - New York City PDF

Form F626 Application for Disability Retirement - 22-year Plan Members Enhanced Disability Benefit Participants Only - New York City
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Form F137 Designation of a Minor's Guardian Under the Uniform Transfer to Minor's Act - New York City PDF

Form F137 Designation of a Minor's Guardian Under the Uniform Transfer to Minor's Act - New York City
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Form F203 Affidavit That Power of Attorney Is in Full Force - New York City PDF

Form F203 Affidavit That Power of Attorney Is in Full Force - New York City
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Form F331 Application for Refund of Member's Accumulated Salary Deductions - New York City PDF

Form F331 Application for Refund of Member's Accumulated Salary Deductions - New York City
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Form F354 Affidavit of Workers' Compensation Payments - New York City PDF

Form F354 Affidavit of Workers' Compensation Payments - New York City
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Form F402 Request for Deferment of Outstanding Loan Payments Under IRS Notice 2020-23 - New York City PDF

Form F402 Request for Deferment of Outstanding Loan Payments Under IRS Notice 2020-23 - New York City
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Form F303 Application for Loan Against Additional Member Contributions (Amcs) Tier 1 and Tier 2 Members - New York City PDF

Form F303 Application for Loan Against Additional Member Contributions (Amcs) Tier 1 and Tier 2 Members - New York City
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Form F309 Application for Change in Loan Repayment Schedule Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members - New York City PDF

Form F309 Application for Change in Loan Repayment Schedule Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members - New York City
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Form F302 Loan Application - Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members - New York City PDF

Form F302 Loan Application - Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members - New York City
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Form F615 Authorization for Release of Information - New York City PDF

Form F615 Authorization for Release of Information - New York City
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Form F609 Questionnaire for Disability Retirement Applicants - New York City PDF

Form F609 Questionnaire for Disability Retirement Applicants - New York City
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Form F608 General Authorization for Medical Information - New York City PDF

Form F608 General Authorization for Medical Information - New York City
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Form F244 Application to Purchase Credit for Military Service - New York City PDF

Form F244 Application to Purchase Credit for Military Service - New York City
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Form 615 Authorization for Release of Information - New York City PDF

Form 615 Authorization for Release of Information - New York City
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