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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 forms. A T3 slip is a Canadian tax form that reports income from trusts for a tax year. An individual taxpayer will include the amounts reported on the T3 on his personal tax return. A co...

Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 *371* F371 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number Banking Operations 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 for

Certificate of Employment Under Section 212 of the Retirement and Social Security Law (RSSL)Form #353. File this form if you are a retiree who reenters public employment in the City or State of New York, and do not want to rejoin NYCERS. Pension payments will continue but your earnings may be limited.How to edit Nycers Form 361: customize forms online. Fill out and sign your Nycers Form 361 quickly and error-free. Get and edit, and sign customizable form templates in a comfort of a single tab. Your document workflow can be a lot more efficient if everything required for modifying and handling the flow is arranged in one place.Important Notice. The Health Benefits Retiree client service walk-in center is closed. Please resubmit your documents as follows: 1) Forms/documents can be submitted …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.When an employer hires a worker, the law requires that taxes be withheld from the employee’s paycheck. To properly calculate the amount to withhold, the employer must use the worke...Dec 27, 2023 · File for Service Retirement online: When you are ready to file, NYCERS strongly encourages you to make an appointment for a telephone consultation with a NYCERS retirement counselor, and to file for Service Retirement online through your secure MyNYCERS account at www.mynycers.org. Paper forms can be found here: Service Retirement. 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.

Health benefits are not offered or administered by NYCERS. Please go here for videos and other information on how to apply for health benefits as a retiree, be reimbursed for Medicare Part B, and more. Step by Step Guide to Retiree Health Benefits. Medicare Request for Employer Information Form. Go to OLR’s Health Benefits Program page.Dec 27, 2023 · 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 NYCERS’ Walk ... 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 PlanHowever, when calculating your advance payment, NYCERS will substitute your FAS or Final Compensation with your earnings, or the average of the last three years (five years for Tier 6 members), as indicated on your W2 form. FAS: Your Final Average Salary is the average of the wages earned in the 36 months (60 months for Tier 6 members) priorLAST UPDATE DECEMBER 2009. Processing Death Benefits #702 - Page 1. 340 Jay Street, Brooklyn, NY Mezzanine level (347) 643-3000 www.nycers.org 30-30 47th Avenue, 10th Floor Long Island City, NY 11101. Tax Forms Tax Waiver Letters of Administration (if applicable, issued by the Surrogate’s Court of the county in which the deceased …

INSTRUCTIONS FOR COMPLETING THIS FORM. If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete this form in ink or type. Except for signature, please print all items. At the top of this form, print your Membership #, Social Security #, Date of Birth, name, and complete address. Retirees and beneficiaries with a registered MyNYCERS account can change their Federal withholding online instead of submitting this paper form. Form printing instructions: Print the form in color (photocopies and forms printed in black and white will not be accepted ). Print the form on 8.5″ x 11″ paper with the scale set to 100%. 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. Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Sponsorship Award Nomination Form Nadia Hansel, MD, MPH, is the interim director o...

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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...When an employer hires a worker, the law requires that taxes be withheld from the employee’s paycheck. To properly calculate the amount to withhold, the employer must use the worke...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...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 daysYou 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 days

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.About NYCERS. The New York City Employees’ Retirement System (NYCERS) was founded by the New York State Legislature in 1920 with 13,331 members. Today, NYCERS has grown into the largest municipal public employee retirement system in the United States with more than 350,000 active members and retirees including civilian employees such as ...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...For assistance accessing your MyNYCERS account, contact NYCERS at 347-643-3000. To request a paper application, contact NYCERS’ Call Center or visit us at the Walk-in Center . Print-friendly 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. must submit NYCERS Change of Repayment Form #309, available at www.nycers.org. Forms can also be requested by phone by calling NYCERS’ Call Center at (347) 643-3000. • Renegotiated Loan: When you are eligible for another loan, you may change your loan repayment schedule by borrowing additional amounts and changing the repayment …The ACFR consists of five sections: the Introductory Section, the Financial Section, the Investment Section, the Actuarial Section, and the Statistical Section. NYCERS has received the Government Finance Officers Association award for achievement in excellent financial reporting every year since 1986. Download the 2023 ACFR. Chat with us.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...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 ...

How to edit Nycers Form 361: customize forms online. Fill out and sign your Nycers Form 361 quickly and error-free. Get and edit, and sign customizable form templates in a comfort of a single tab. Your document workflow can be a lot more efficient if everything required for modifying and handling the flow is arranged in one place.

Retirees and beneficiaries with a registered MyNYCERS account can change their Federal withholding online instead of submitting this paper form. Form printing instructions: Print the form in color (photocopies and forms printed in black and white will not be accepted ). Print the form on 8.5″ x 11″ paper with the scale set to 100%.Find the most commonly used forms and publications for NYCERS retirees, such as change of address, name change, tax withholding, direct deposit, and more. …Access online services for survivor benefits from the New York City Employees' Retirement System (NYCERS). Find forms, publications, resources, and contact information for … Complete this form in its entirety, sign it, and mail it to NYCERS, 30-30 47th Avenue, 10th Floor, Long Island City, NY 11101. If you wish to file this form in person, visit NYCERS’ Customer Service Center on the Mezzanine level of 340 Jay Street in downtown Brooklyn. Sign this form and have it notarized, THIS PAGE 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 daysforms 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 Centermust submit NYCERS Change of Repayment Form #309, available at www.nycers.org. Forms can also be requested by phone by calling NYCERS’ Call Center at (347) 643-3000. • Renegotiated Loan: When you are eligible for another loan, you may change your loan repayment schedule by borrowing additional amounts and changing the repayment …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 …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.

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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.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 OfficesCustomer 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, 2017Customer 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. 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. 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 Officesforms 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 Center ….

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, 2017Forms, Brocres, Fact Seets at Taxation of Payments ... Once you are retired, if you choose to change the amount of your withholdings please obtain and submit NYCERS Form #349 (Application to Change Federal Income Tax Withholding), which is available on our website, in our Customer Service Center or through our Call Center. ...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, 2017NYCERS 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 …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.You must complete the Colorado form 104 2021 version if you have earned some or all of your income from the state. It does not matter whether you are a full-time or part-time resid... 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 Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30 …Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center. (877) 669-2377 – If calling from outside the New York City area (toll-free) (347) 643-3501 – TTY (hearing impaired)Retirement Option Election Form – Tier 2, Tier 3, and 22-Year Plan – Five-Year and Ten-Year CertainForm #554. This Retirement Option Election Form allows you to elect the Five-Year Certain or Ten-Year Certain Option. By electing this option, you will receive a reduced retirement benefit. If you die within five (or ten) years from the date ... Nycers forms, Mail completed Disability Applications to NYCERS at 30-30 47th Ave., Suite 1010, Long Island City, NY 11101. ... File NYCERS WTC Notice of Participation Form #622 by ..., 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 ..., Dec 27, 2023 · Retirement Option Election Form – Tier 2, Tier 3, and 22-Year Plan – Five-Year and Ten-Year CertainForm #554. This Retirement Option Election Form allows you to elect the Five-Year Certain or Ten-Year Certain Option. By electing this option, you will receive a reduced retirement benefit. If you die within five (or ten) years from the date ... , However, when calculating your advance payment, NYCERS will substitute your FAS or Final Compensation with your earnings, or the average of the last three years (five years for Tier 6 members), as indicated on your W2 form. FAS: Your Final Average Salary is the average of the wages earned in the 36 months (60 months for Tier 6 members) prior, 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, Mail Completed Forms to: 33 A 1 1111 NYCERS SE ONY F331 R Page 1 of 2 340 ay Street, Bklyn, NY Meanine level 30-30 47th Avenue, 10th Fl. Long Island City, NY 11101 pload Documents at www.mynycers.org (347) 643-3000 www.nycers.org M - F, am to pm Forms, Brochures, Fact Sheets at *331*, 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 · Application for Membership for NYCERS-Eligible Employees – Tier 3, Tier 4, and Tier 6 Form #103. Form August 29, 2016. ... Forms and Correspondence Mailing Address , 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, 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, 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 days, Apply Online. Form 134. Designation of Primary and Contingent Beneficiary – Tier 3, Tier 4, and Tier 6. Form #134 is temporarily unavailable. To make changes to your beneficiaries or their designated guardians, log in to your MyNYCERS account and look for “Manage Beneficiaries” in the menu. If you are new to MyNYCERS, register for ..., Username. Forgot Your Password? Sign Up. City of New York - Employees Retirement System employee? Log In. MyNYCERS Customer Secure Login Page. Login to your MyNYCERS Customer Account., 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, 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., 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., INSTRUCTIONS FOR COMPLETING THIS FORM. If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete this form in ink or type. Except for signature, please print all items. At the top of this form, print your Membership #, Social Security #, Date of Birth, name, and complete address., www.nycers.org M - F, 8am to 5pm Forms, Brochures, Fact Sheets at How to Join NYCERS Fact Sheet #754 How to Join NYCERS March 2021 NYCERS ˜˚˛˝˙ˆˇ˘ ˚˙˙ ˝ ˙ ˙ˆ˙˜ ˝ ˚ ˙ˆ Join NYCERS Online It’s easy to join NYCERS online using your smartphone, laptop or tablet. Simply follow the step-by-step instructions below:, 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., Plan Enrollment. Loading. Customer Service Center Call Center Hours. Monday-Friday, 8am - 5pm. (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, 8am -5pm, for drop off of fully completed forms, answers to quick inquiries, and appointments., Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may experience longer wait times, and voicemails may be returned after hours. (347) 643-3000 – Call Center. (877) 669-2377 – If calling from outside the New York City area (toll-free) (347) 643-3501 – TTY (hearing …, Counseling Projects. The U.S. Administration for Community Living’s Pension Counseling and Information Program currently serves 30 states. Free legal assistance is available to …, 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 Center, Affidavit of Personal Service IncomeForm #351. This form is to be completed annually by all Tier 3, Tier 4 and Tier 6 Disability Retirees to verify your eligibility for continued disability benefits. Find out more about Personal Service Income. Download PDF. Form 354., Forms & Publications. Plan Descriptions; Forms, Brochures and Fact Sheets; Service Retirement Kits; Disability Retirement Kits; Annual Comprehensive …, 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 , Access online services for survivor benefits from the New York City Employees' Retirement System (NYCERS). Find forms, publications, resources, and contact information for …, Form. Military service must have been satisfactorily completed and a discharge under honorable circumstances must have been granted. A DD214 form is the most common proof of satisfactory military service. Download PDF. Brochure 902. Eligibility, benefits and application process to purchase service credit for time spent on active duty …, NYCERS’ records. Should you have any questions regarding this application, please contact NYCERS’ Call Center at 347-643-3000. *103* Application for Membership. For NYCERS-Eligible Employees . Sign this form and have it notarized, Page 3. Social Security Number Date of Birth [MM/DD/YYYY] In Care of (if applicable) Daytime Phone Number, 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 , Dec 27, 2023 · 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. , 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. , Dec 27, 2023 · Application for Membership for NYCERS-Eligible Employees – Tier 3, Tier 4, and Tier 6 Form #103. Form August 29, 2016. ... Forms and Correspondence Mailing Address