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Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeForm #341 For members who have at least five but less than ten years of Credited Service and wish to terminate their membership by withdrawing their accumulated member contributions . Note : By filing this form and withdrawing your contributions, you will waive your right to a Vested Retirement Benefit.Health Benefits Program. 22 Cortlandt Street, 12th Floor. New York, NY 10007. 3) Inquiries and questions can be emailed to [email protected] - do not send forms through email (see #1 and #2 above) 4) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006. 5) If you are a HIP-HMO member turning 65 ...Job compensation often includes more than just a salary; it is increasingly common for businesses to offer their employees stock options. If an employee decides to exercise his sto...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. 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. When you start receiving a pension from NYCERS, you may be eligible for City-paid health insurance benefits. Health benefits are not offered or administered by NYCERS. ... 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;NYCERS USE ONLY R01/23 ail ompleted Forms to: 3-3 4th Avenue, th Fl ong Island City, NY 1101 *266* Application for Payment of a Tier 3, 4, 6 or 22-Year Plan Vested Retirement Benefit Page 1 of 4 This application is for Tier 3, 4, 6 and 22-Year Plan vested members who wish to receive payment of their Vested Retirement Benefit.NYCERS encourages all active, vested or retired members (retired after 9/11/01) who participated in WTC Rescue, Recovery or Clean-up Operations between September 11, 2001 and September 12, 2002 to file a Notice of Participation Form #622 before September 11, 2026. While the original law required that you were a member during your period of ...When you start receiving a pension from NYCERS, you may be eligible for City-paid health insurance benefits. Health benefits are not offered or administered by NYCERS. ... 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;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 …For NYCERS members who are eligible for membership in the NYC Teachers Retirement System and elect to remain a member of NYCERS as a Transferred Contributor. ... Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 47th Avenue, 10th Floor Long Island City, NY 11101

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 …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 ...Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 Address Apt. Number *290* F290 Change of Address Form Page 1 of 1 IN CARE OF (IF APPLICABLE) Previous Address: NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number City State Zip Code New Address: IN CARE OF (IF APPLICABLE) 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.

Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeFor 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-friendlyMail 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 ...…

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