Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeAccess online services for survivor benefits from the New York City Employees' Retirement System (NYCERS). Find forms, publications, resources, and contact information for … 62/5 Retirement Plan for Tier 4 MembersBrochure #946. The 62/5 Retirement Plan, also referred to as the Basic Tier 4 Plan, allows participants to retire with a full pension at age 62 with at least five years of Credited Service, or with a reduced pension between the ages of 55 and 61. Download PDF. Fact Sheet 754. INTRODUCTION. This booklet is called a Tier 2 Summary Plan Description or SPD for short. It is published by the New York City Employees’ Retirement System (NYCERS), and is intended to summarize all of the provisions relating to retirement plans, programs and other benefits offered to New York City employees who became members …NYCERS Members, Your Annual Disclosure Statement Is Ready! ... 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. Clone of Email. Forms and Correspondence Mailing Address Mail your completed form or correspondence to: 30-30 …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.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-friendlyUse this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service rendered in a NYCERS-eligible title.. Members with a registered MyNYCERS account can apply for a buyback online instead …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.Small business tax deadlines may not roll around until Feb. 1, 2021. But it’s never too soon to brush up on these 1099 tips. Tax deadlines may not roll around until Feb. 1, 2021. B...Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 *355* F355 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number Payroll Verification 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 belowWebform. Complete this form only if you are terminally or gravely ill and need to apply for a Disability benefit, or if you have already applied and need to notify NYCERS of the gravity of your illness. Contact Information. First Name *. Last Name *. Email *. Mobile Number *. Have you applied, or are you planning to apply for a Disability ...Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service rendered in a NYCERS-eligible title.. Members with a registered MyNYCERS account can apply for a buyback online instead …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.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 daysCustomer Service. Call Center (347-643-3000) is open Monday through Friday, 8 am to 5 pm, to answer questions and schedule consultations. Telephone and video consultations are available to maximize your health and safety. Please have your Member or Pension number ready when contacting NYCERS’ Call Center. Due to increased call volume, you may ...You can place funds in the care of a trustee by creating a legal trust. 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Calculators Helpful Guid...Find the most common forms and fact sheets for NYCERS retirees, such as change of address, name change, tax withholding, and beneficiary designation. Download or submit online the forms you need for your pension verification, payment, or information request.Mail completed form to: 30-30 47th Avenue,10th Fl Long Island City, NY11101 *302* F302 Page 1 of 4 NYCERS USE ONLY First Name M.I. Last Name City State Zip Code Address Apt. Number If you have an official seal, affix it Signature of Notary Public or Commissioner of Deeds Official Title Expiration Date of CommissionCustomer 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.e forms you can sumt onlne ore onlne serces to sae you tme nhanced securty for reater protecton of your account 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 atNYCERS 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 OfficesLearn how to create web forms with Bootstrap CSS using form classes. Trusted by business builders worldwide, the HubSpot Blogs are your number-one source for education and inspirat...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.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. Forms and Correspondence Mailing Address.Request for Election or Change of Voluntary Contributions As Provided by the Transit 20-Year Non-Contributory Plan – Tier 1Form #216. As a Tier 1 member of the Transit 20-year Non-Contributory Plan, you may elect to contribute voluntarily at the rates listed in this form. You will enhance your future retirement benefit by contributing toward ...If you need assistance completing this form please contact NYCERS at 347-643-3000. Complete the Designation of Beneficiary form in ink or type. Except for signature, please print all items. At the top of the form, print your Membership #, Social Security #, Date of Birth, name and complete address. In each designation, Primary and Contingent ...NYCERS WALK-IN and CALL CENTER Hours: Monday & Wednesday 8 am – 6 pm Tuesday & Thursday 8 am – 5 pm Friday 8 am – 3 pm 340 Jay Street, Brooklyn, NY Mezzanine level www.nycers.org (347) 643-3000 30-30 47th Avenue, 10th Floor Long Island City, NY 11101 How to Register for MyNYCERS Brochure #967 – Page 1 How …Find out how to access NYCERS services, submit forms, and get pension payments online during the COVID-19 crisis. Learn about the temporary changes and exceptions for …Forms rocures Fact Seets at M C F 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 About This Form This form is for NYCERS Retirees and Beneficiaries who wish to change the amount of Federal income tax withheld from their monthly pension payments. NYCERS cannot counsel you on tax matters. If you need assistance in determining which taxCustomer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeMail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY Page 1 of 1 F205 Birth Evidence Affidavit This affidavit is for members and beneficiaries who are unable to produce a birth certificate or any of the birth evidence documents accepted by NYCERS but can submit three alternative birth records.Forms rocures Fact Seets at M C F 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 About This Form This form is for NYCERS Retirees and Beneficiaries who wish to change the amount of Federal income tax withheld from their monthly pension payments. NYCERS cannot counsel you on tax matters. If you need assistance in determining which taxCustomer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeUsername. Forgot Your Password? Sign Up. City of New York - Employees Retirement System employee? Log In. MyNYCERS Customer Secure Login Page. Login to your …Incfile offers free LLC formation, a registered agent, compliance, and startup services in one place. All for $0 plus the state fee to start. Filing costs for forming an LLC range ...WTC Agency ReportForm #623. This form is to be completed by the agency whose employee (or former employee) has filed a Notice of Participation with NYCERS indicating that he/she participated in WTC Rescue, Recovery or Clean-Up Operations during certain qualifying periods between September 11, 2001 and September 12, 2002. Download PDF. Form.Form #302. Application for eligible Tier 3, Tier 4 and Tier 6 Basic and Special Plan members who wish to apply for a NYCERS pension loan. Download PDF; Read more; Apply Online; Form September 11, 2016 301. Loan Application – …Application to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (Buyback)Form #241. Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service …NYCERS USE ONLY Page 1 of 3. Address Apt. Number. *103*. In Care of (if applicable) F103 Application for Membership For NYCERS-Eligible Employees. Agency Pass Number (Transit Only) This application is for City employees who wish to apply for NYCERS membership. You are to also nominate a beneficiary for a de ath benefit payable if you …City, NY 11101. NYCERS also accepts forms and documents by fax to 347-643-3884, but please note that faxed documents will take longer to process. Fully completed forms may also be placed in a secure Drop Box at NYCERS’ 340 Jay Street entrance Monday through Friday, 8 am to 5 pm. (347) 643-3000 www.nycers.org Customer Service Hours #740We walk you through when and how to use Form 944, how to fill it out, and when and how it should be submitted. Human Resources | How To Updated July 25, 2022 REVIEWED BY: Charlette... Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 I understand that by signing this form, I am confirming that the information on this form, to the best of my knowledge, is correct. NYCERS USE ONLY F181 Member Number Last 4 Digits of SSN Page 2 of 2 Sign this form and have it notarized, THIS PAGE NYCERS encourages all members to hand deliver any applications that are time sensitive to NYCERS’ Customer Service Center. You take considerable risk of undocumented or lost applications when mailing such documents. NYCERS’ Customer Service Center Express Lane is designated to accept applications and will provide Select a transaction below and log in to complete it. Track a Pending Loan, Buyback, Retirement Application, or Option Election. View/Manage My Beneficiaries. Apply for a Loan (Tiers 3, 4, 6) Add/Update My Direct Deposit Information (Retirees) Change My Address/Update My Contact Information. Apply for a Buyback.R12/16. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101. *310*. F310. Page 1 of 2 NYCERS USE ONLY. First Name M.I. Last Name City State Zip Code Address Apt. Number. Request for Change to Recent Loan Application Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members.We walk you through when and how to use Form 944, how to fill it out, and when and how it should be submitted. Human Resources | How To Updated July 25, 2022 REVIEWED BY: Charlette...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 PlanWant to know how to create a contact form in WordPress? Learn how to do so using a simple WordPress form plugin in this guide. Plus, other plugin options. Installing & Customizing ...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 daysApplication to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (Buyback)Form #241. Use this application to purchase (buyback) previous full-time or part-time public service rendered within New York State prior to your NYCERS membership. Note: Tier 1 members may only buy back public service rendered in a NYCERS-eligible ...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 · 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. 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. Forms and Correspondence Mailing Address.Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free address you provide on this form is different from your address in NYCERS' system, the new address will become your official address in NYCERS' records. If you have any questions regarding this form, please contact NYCERS' Call Center at 347-643-3000. TYPE OF CHECK(S) LOST (please check all applicable boxes from Section A and/or Section B): 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. Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 I understand that by signing this form, I am confirming that the information on this form, to the best of my knowledge, is correct. NYCERS USE ONLY F181 Member Number Last 4 Digits of SSN Page 2 of 2 Sign this form and have it notarized, THIS PAGE 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 encourages all members to hand deliver any applications that are time sensitive to NYCERS’ Customer Service Center. You take considerable risk of undocumented or lost applications when mailing such documents. NYCERS’ Customer Service Center Express Lane is designated to accept applications and will provide Forms rocures Fact Seets at M C F 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 About This Form This form is for NYCERS Retirees and Beneficiaries who wish to change the amount of Federal income tax withheld from their monthly pension payments. NYCERS cannot counsel you on tax matters. If you need assistance in determining which taxNYCERS encourages all members to hand deliver any applications that are time sensitive to NYCERS’ Customer Service Center. You take considerable risk of undocumented or lost applications when mailing such documents. NYCERS’ Customer Service Center Express Lane is designated to accept applications and will provideThe 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.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.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: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. Forms,Brochures, Fact Sheets at. www.nycers.org 30-30 47th Avenue, 10th Floor Long Island City, NY 11101. The Road to Your NYCERS Re rement — Fact Sheet #716. ESTABLISH YOUR EFFECTIVE DATE OF RETIREMENT. Your Benefits Coordinator will work with your payroll department to determine your leave balances and last day on …Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeDesignation of Beneficiary - Tier 3, Tier 4, and Tier 6 - New York City Employees' Retirement System. Designation of Beneficiary – Tier 3, Tier 4, and Tier 6. Form #133 is temporarily unavailable. Form. To make changes to your beneficiaries or their designated guardians, log in to your MyNYCERS account and look for “Manage …Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeThis application is for Tier 3 and Tier 4 vested members who wish to receive payment of their Vested Retirement Benefit. When you left City service you filled out a “notice of intention”, form #254, to vest your retirement benefit. It is important that you read the conditions below. Please be sure that you nominate a beneficiary or your ...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 NumberMail Completed Forms to t Aenue t on nd t N 1101 YCR Y 604 R23 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 Tier 4 with Tier 3 Rights, Social Security DependentBirth Evidence AffidavitForm #205. Submit this affidavit if you are unable to produce a birth certificate or any of the birthdate evidence documents accepted by NYCERS but can submit three alternative birth records. For a list of acceptable birthdate evidence, see NYCERS’ Birthdate Evidence Alternatives Fact Sheet #709.
Dec 27, 2023 · Find the most common forms and fact sheets for NYCERS retirees, such as change of address, name change, tax withholding, and beneficiary designation. Download or submit online the forms you need for your pension verification, payment, or information request. . Village pizza woodsville nh 03785
LAST 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 pensioner ... 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.Mail completed form to: 30-30 47th Avenue, 10th Fl Long Island City, NY 11101 NYCERS USE ONLY Page 1 of 1 F205 Birth Evidence Affidavit This affidavit is for members and beneficiaries who are unable to produce a birth certificate or any of the birth evidence documents accepted by NYCERS but can submit three alternative birth records.30-30 47th Avenue, 10th Fl Long Island City, NY 11101. Member Number OR. Pension Number. Last 4 Digits of SSN. If the foregoing Primary beneficiary(ies) should predecease me, I hereby nominate the following as Contingent beneficiary(ies) for the above Post-Retirement Lump-Sum Death Benefit. First Name. M.I.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 NumberO R G. MyNYCERS is your secure online portal to your NYCERS pension account. It has many features, including forms and applications you can file online. Follow the steps below to sign up for MyNYCERS. It’s fast, easy, and secure.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 ...Customer Service Center Call Center Hours Monday-Friday, 8am - 5pm (347) 643-3000 Within NYC (877) 669-2377 Toll-FreeLearn how to sign up for MyNYCERS, your online portal to your NYCERS pension account. You can file forms and applications, view your pension information, and access other …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.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.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 CenterDec 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. 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 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 …You may obtain a copy of these forms at www.nycers.org or by visiting NYCERS’ Customer Service Center at 340 Jay Street, Brooklyn, New York, or by contacting NYCERS at 347-643-3000 and requesting them to complete your transaction.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 NameAffidavit 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.For American tourists visiting Cancún, Mexico customs forms and tourist cards will no longer slow down the arrivals process. 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