Application Form Archives - Page 8 of 14 - NYCERS

Withdrawal of Service Retirement Application

Request to Change or Correct Retirement Date

Retirement Option Election Form – Tier 2 – Option 4 (Lump Sum)

Retirement Option Election Form – Tier 2, Tier 3, and 22-Year Plan – Five-Year and Ten-Year Certain

Application to Purchase Service Credit for Layoff Time – NYC Parks Department Climbers and Pruners

Affidavit for Retroactive Election to Reduce Annuity Contributions by the Amount Required for Social Security Coverage – Tier 1

Application to Purchase Service Credit for Layoff Time – School Construction Authority

Application for Membership – Tier 1 and 2

Designation of Beneficiary(ies) – Tier 1 and Tier 2

Supplemental Designation of Beneficiaries