New York City Employees' Retirement System Forms

This document is used for revising Form F544 in New York City.

This form is used for payroll verification in New York City. It is used to affirm the accuracy of payroll information for businesses operating within the city.

This form is used for requesting a name change in New York City.

This Form is used for requesting information in New York City.

This Form is used for designating beneficiaries to receive post-retirement lump-sum death benefits in New York City.

This form is used for notifying agencies in New York City about a transfer between agencies.

This form is used for notifying the agency of any changes in an employee's status within the organization in New York City.

This document is a report of the death of a beneficiary for all tiers in New York City. It may be used to communicate the beneficiary's death to the appropriate parties.

This form is used for updating your address with the City of New York.

This Form is used for authorizing electronic fund transfers of monthly retirement allowance in New York City.

This form is used for providing evidence of birth in New York City through an affidavit.

This document is used for submitting an agency report for the World Trade Center Disability Law in New York City.

This Form is used for beneficiaries of a Tier 2 member in New York City to select annuitization of the Ordinary Death Benefit.

This form is used for filing an accidental death affidavit in New York City.

This form is used for selecting the designated beneficiary to receive benefits under option one as an annuity in New York City.

This form is used for releasing a claim under Section 1310 of the Surrogate's Court Procedure Act in New York City.

This form is used for reporting and verifying the loss of one or multiple checks in New York City. It serves as an affidavit to provide necessary information and documentation regarding the lost checks.

This Form is used for authorizing the release of information in New York City.

This Form is used for submitting a banking operations affidavit in New York City.

This Form is used for requesting a deferment of outstanding loan payments in New York City due to IRS Notice 2020-23.

This form is used for physicians in New York City to report on a patient's disability. It helps provide documentation for disability benefits and accommodations.

This form is used for withdrawing a service retirement application in New York City.

This form is used for Departmental Certificate of Service Rendered by a member claiming service prior to membership date in NYCERS (New York City Employees' Retirement System). This document is required to verify the period of service claimed by the member.

This form is used for requesting a change or correction to the retirement date for employees in New York City.

This form is used for applying for a loan and is only available to Tier 1 and Tier 2 members in New York City.

This form is used for authorizing the release of medical information in New York City. It grants permission for healthcare providers to share your medical records with other individuals or organizations.

This form is used for collecting information from individuals applying for disability retirement in New York City.