Application Form Archives - Page 2 of 14 - NYCERS

Designation of Beneficiary – Tier 3, Tier 4, and Tier 6

Agency-to-Agency Transfer Notification

Application for Payment of a Vested Retirement Benefit – Tier 4 with Tier 3 Rights

Retirement Option Election Form – Tier 4, Tier 6 63/5, and Special Plan Members – Maximum, Option 1, 2, and 5

Retirement Option Election Form – Tier 4 and Tier 6 – Five-Year and Ten-Year Certain

Application for Disability Retirement – Tier 4

Application for Disability Retirement – 22-Year Plan Members

Retirement Option Election Form – Tier 3 and 22-Year Plan – Maximum, Option 1, 2, and 5

Election of 20-Year Retirement Program – Tier 3 NYC Correction Members of the Rank of Captain or Above

Application for Disability Retirement – Tier 3 Uniformed Correction Force Only