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Reporting Forms and Publications
… List of forms and publications available for holders of …
https://www.osc.ny.gov/unclaimed-funds/reporters/reporting-forms-and-publicationsROA Result Calculator – Reporting Elected and Appointed Officials
… Reporting Resolution for Elected and Appointed Officials form (RS2417-A) . If the member is not an elected or appointed official, the RS2417-A form does not need to be completed. For more information …
https://www.osc.ny.gov/retirement/employers/reporting-ea-officials/roa-result-calculatorThe Survivor’s Benefit Program for Retired NYS Employees
… a minimum death benefit to the survivors of New York State retired employees. Your beneficiary may receive a benefit of $3,000 if you left State service* on or after April 1, 1970, or $2,000 if you left State service between October 1, 1966 and March 31, 1970. …
https://www.osc.ny.gov/retirement/publications/survivors-benefit-program-retired-nys-employeesState Agencies Bulletin No. 2158
… is not correct, agencies must email payrolldeduction@osc.ny.gov providing the correct address prior to November 17, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2158-verification-agency-return-address-employee-form-w-2-wage-and-taxState Agencies Bulletin No. 1946
… of the agency address to be displayed on Employee Form W-2 for Tax Year 2021. Effective Dates This bulletin is effective … Actions Agencies must verify the agency return address for all Department ID(s) associated with their agency as … submit corrections prior to November 19, 2021 . Requests for a gency name and address corrections may be directed to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1946-verification-agency-return-address-employee-form-w-2-wage-and-taxState Agencies Bulletin No. 1855
… address that will be displayed on Employee Form W-2 for Tax Year 2020. Effective Dates This bulletin is effective … address is not correct, agencies must send an email to the Tax and Compliance mailbox providing the correct address … address is printed on the Employee Form W-2 (Wage and Tax Statement) for 2020. OSC Actions OSC will update PayServ …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1855-verification-agency-return-address-employee-form-w-2-wage-and-taxState Agencies Bulletin No. 2057
… Purpose The purpose of this bulletin is to request verification of the agency’s address to be displayed on Employee Form W-2 for Tax Year 2022. Effective Dates This bulletin is effective immediately. OSC Actions OSC will update PayServ … The purpose of this bulletin is to request verification of the agencys address to be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2057-verification-agency-return-address-employee-form-w-2-wage-and-taxState Agencies Bulletin No. 2267
… Purpose: The purpose of this bulletin is to request verification of the agency’s address to be displayed on Employee Form W-2 for Tax Year 2024. Effective Dates: This bulletin is effective immediately. OSC Actions: OSC will update … The purpose of this bulletin is to request verification of the agencys address to be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2267-verification-agency-return-address-employee-form-w-2-wage-and-taxState Agencies Bulletin No. 2362
… address to be displayed on Employee Form W-2 for Tax Year 2025. Effective Dates: This bulletin is effective … providing the correct address prior to November 17, 2025 . Changes to the agency name field must be within the … Agencies must submit corrections prior to November 17, 2025 , to ensure the correct return address is printed on the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2362-verification-agency-return-address-employee-form-w-2-wage-and-taxVendor File Advisory No. 5
… Subject: Updated Vendor Forms Guidance: The following vendor forms have been updated and vendors are now required to use them. Please replace any old forms with the new ones and direct vendors to the new forms, … Updated Vendor Forms …
https://www.osc.ny.gov/state-agencies/advisories/vendor-file-advisory/5-updated-vendor-formsDraft a DRO Using the NYSLRS Template – Divorce and Your Benefits
… may be prepared using the Domestic Relations Order (DRO) template, which has been developed by NYSLRS with guidance from the NYSLRS legal counsel. The template will generate a customized proposal based on a … status using specific information the member provides. Template selections must mirror the agreements reached …
https://www.osc.ny.gov/retirement/members/divorce/draft-dro-using-nyslrs-templateTown of Ripley – Town Clerk Collections (2024M-139)
… in a timely and accurate manner. As a result, there was an increased risk for money to be lost or used for … intact (in the same form – cash or check – in which it was originally received). In addition, the Board did not …
https://www.osc.ny.gov/local-government/audits/town/2025/03/14/town-ripley-town-clerk-collections-2024m-139Statement of Accrued Payments and Leave Credits (RS6221)
To certify a member’s payments and credits at retirement, NYSLRS employers use form RS6221.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6221.pdfElection Form for Coverage Under Article 22 (Tier 5) in Accordance with Chapter 263 of the Laws of 2016 (RS5536)
To elect coverage under Article 22 (Tier 5), PFRS Tier 3 members use form RS5536.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5536.pdfReport of Museum and Military Property
Use this form to report museum or military property that has been left abandoned.
https://www.osc.ny.gov/files/unclaimed-funds/reporters/excel/tangible.xlsForeign Fire Insurance Report Filing
… benevolent associations which receive and use foreign fire insurance tax proceeds (commonly referred to as "two percent … Foreign Fire Insurance Report Filing …
https://www.osc.ny.gov/local-government/required-reporting/foreign-fire-insurance-report-filingState Agencies Bulletin No. 1591
… inform agencies of the procedures and provide instructions for reporting the taxable value of personal use of an … services in the New York State Payroll System (PayServ) for tax year 2017. Affected Employees Employees with … and personal use of employer-provided chauffeur services for the period November 1, 2016 through October 31, 2017 as …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1591-procedures-reporting-taxable-value-personal-use-employer-providedState Agencies Bulletin No. 1269
… vehicle and chauffeur services and provide instructions for reporting this information in the New York State Payroll … in the employee’s taxable gross wages. This income is reportable on the employee’s Form W-2 and is subject to … of commuting to and from an employee’s home and his or her official work station and other trips unrelated to work. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1269-new-earnings-code-and-procedures-reporting-taxable-value-personal-useRetirement Option Election Form for Tier 2 Members (RS6163-A)
For NYSLRS Tier 2 members to elect an option for how they want their monthly benefit paid at retirement and to designate one beneficiary.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6163-a.pdfRetirement Option Election Form For Tier 1 Members (RS6109-A)
For NYSLRS Tier 1 members to elect an option for how they want their monthly benefit paid at retirement and to designate one beneficiary.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6109-a.pdf