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Application for Oil Spill Damage Claim (AC-2231)
If you are the victim of someone else’s oil spill, you may file a damage claim form with the Fund for your financial loss.
https://www.osc.ny.gov/files/about/pdf/oil-spill-ac-2231.pdfParticipation Request - Employer Contribution Stabilization Program
The participation request form is used to enroll in the Contribution Stabilization Program (Chapter 57, Laws of 2010) for payment of retirement contributions.
https://www.osc.ny.gov/files/retirement/employers/pdf/csp-participation-request.pdfStandard Work Day and Reporting Resolution for Elected and Appointed Officials Continuation Form (RS417-B)
To add additional titles to your board resolution establishing standard work days for elected or appointed officials, NYSLRS employers use form RS2417-B.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2417-b.pdfTown of Patterson - Recycling Center Cash Receipts (2019M-237)
Determine whether Recycling Center (Center) cash collections were adequately supported, recorded and remitted timely and intact (in the same form and amount as
https://www.osc.ny.gov/files/local-government/audits/pdf/patterson-2019-237.pdfElection Form for Sheriffs, Undersheriffs, and Deputy Sheriffs 25 Year Plan and the Additional 1/60 Retirement Plan Under Article 14-B, Section 551 and 551 (e) (RS5501)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5501.pdfElection Form for Sheriffs, Undersheriffs, and Deputy Sheriffs 20 Year Additional 1/60 Retirement Plan Under Article 14-B Section 553 (RS5498)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5498.pdfElection Form for Sheriffs, Undersheriffs, and Deputy Sheriffs 20 Year Retirement Plan with Additional 1/60 Under Article 14-B Sections 552 and 553 (RS5498-A)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5498-a.pdfElection Form for Sheriffs, Undersherrifs, and Deputy Sheriffs 25 Year Retirement Plan under Article 14-B (RS5495)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5495.pdfApplication for Police & Fire Retirement for Disability Incurred in Performance of Duty and ERS Members Covered Under Section 607-g and 89-v (RS6442)
For PFRS members to apply for a performance-of-duty disability retirement and for ERS members covered under sections 607-g or 89-v, use form RS6442.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6442.pdfClaim Information Affidavit for Securities and Cash
We’ll require you and the reporting organization to complete this form if we can’t find the security/cash item you are requesting to claim.
https://www.osc.ny.gov/files/unclaimed-funds/claimants/pdf/claim-information-affidavit.pdfElection Form for Sheriffs, Undersheriffs, and Deputy Sheriffs 25 Year Additional 1/60 Retirement Plan under Article 14-B Section 551 (e) (RS5496)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5496.pdfElection Form for Sheriffs, Undersheriffs, and Deputy Sheriffs 20 Year Retirement Plan Under Article 14-B (RS5497)
NYSLRS election form for only Sheriffs, Undersheriffs, or Deputy Sheriffs directly engaged in criminal law enforcement 50 percent or more of the time.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5497.pdfCUNY Bulletin No. CU-539
… Strike/Discip Fine 409 CUNY Disciplinary Fine 425 Repay State Loans/Debt 426 Higher Ed Repay State Loan 445 HC Flexible Spending 580 CUNY Medicare … should utilize Locked Query #49 to identify a complete list of all regular earnings and retroactive adjustments. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-539-cuny-retroactive-rate-increases-and-lump-sum-paymentCUNY Bulletin No. CU-538
… Strike/Discip Fine 409 CUNY Disciplinary Fine 425 Repay State Loans/Debt 426 Higher Ed Repay State Loan 445 HC Flexible Spending 580 CUNY Medicare … should utilize Locked Query #49 to identify a complete list of all regular earnings and retroactive adjustments. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-538-cuny-retroactive-rate-increases-and-lump-sum-payment-cementCUNY Bulletin No. CU-537
… Strike/Discip Fine 409 CUNY Disciplinary Fine 425 Repay State Loans/Debt 426 Higher Ed Repay State Loan 445 HC Flexible Spending 580 CUNY Medicare … should utilize Locked Query #49 to identify a complete list of all regular earnings and retroactive adjustments …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-537-cuny-retroactive-rate-increases-and-lump-sum-payment-autoCUNY Bulletin No. CU-485
… Strike/Discip Fine 409 CUNY Disciplinary Fine 425 Repay State Loans/Debt 426 Higher Ed Repay State Loan 445 HC Flexible Spending 582 CUNY SS/Med … should utilize Locked Query #49 to identify a complete list of all regular earnings and retroactive adjustments. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-485-retroactive-salary-increases-employees-title-elevatorCUNY Bulletin No. CU-709
… 403(b) 406 Strike/Discip Fine 416 Deferred Comp 425 Repay State Loans/Debt 432 SED Tax Deferred Annuity 433 Total … gross subject to all employment and income taxes. Federal, State, and New York City income tax withholding will be … LQ_PCD_PAYCHECK_EARNINGS_BY_ID to identify a complete list of regular earnings and retroactive adjustments if there …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-709-cuny-2020-retroactive-2-pay-rate-increases-internationalState Agencies Bulletin No. 1619
… To inform agencies of the implementation of the New York State Paid Family Leave Affected Employees As of January 1, … will be included in this calculation. ( Click for a list of Earnings Codes that will not be included. ) OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1619-new-york-state-paid-family-leave-program-ny-paid-family-leaveCUNY Bulletin No. CU-580
… Purpose To provide agency instructions for processing the CUNY Rate Increase for Supervisor of … rate chart and additional information are contained in a memorandum dated 09/01/2015 from Carmelo Batista, Jr. Rates … of the employee’s status: For all rate increases, request a Pay Change with the Action/Reason code of PAY/CRT Pay Rate …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-580-cuny-rate-increase-supervisor-mechanicsOrdinary Death Benefit – Non-Contributory Plan with Guaranteed Benefits
… may be entitled to an ordinary death benefit, in lieu of a monthly pension, if your death is not attributable to an on-the-job accident. The beneficiaries of active (not retired) members generally …
https://www.osc.ny.gov/retirement/publications/1513/ordinary-death-benefit