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Statement 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.pdfChange of Address Form (RS5512)
To notify NYSLRS of a change in your address, NYSLRS members use form RS5512.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5512.pdfMonthly Salary and Service Certification (RS5120)
To certify salary and service for a member’s previous employment, NYSLRS employers use form RS5120.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5120.pdfTaxes and Your Pension
… filing your taxes. Mailed Delivery: We mail printed 1099-Rs by January 31. Email Delivery (Online Availability): We make 1099-Rs available in Retirement Online sooner than printed copies …
https://www.osc.ny.gov/retirement/retirees/taxes-and-your-pensionPensioner's Designation of Beneficiaries (RS6439)
To designate a beneficiary for when a retiree has selected a pension payment option that allows for beneficiary changes beyond the date of retirement use form RS6439.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6439.pdfLoan Payment Change Form (RS5521)
To change the loan payment amount that is being deducted from your earnings by your employer, members use form RS5521.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5521.pdfSection 21 (L) Election Form (RS5379)
For NYSLRS Tier 1 & 2 members (and Tier 3 & 5 PFRS members who are non-contributory) to request to make voluntary contributions to NYSLRS for an annuity.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5379.pdfElectronic Debit Authorization Form (RS5542)
For NYSLRS employers to have payments automatically debited from their account. With direct debit, funds are transferred electronically and securely using the automated clearing house (ACH) system.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5542.pdfPreparing and Applying for Retirement
… take. When you’re ready to apply for retirement, you can do everything online. Learn about what you’ll need to submit, … more information about the types of benefits available and how to apply, visit our Disability Benefits page . Preparing … of unused, unpaid sick leave and your workday is 7.5 hours long: 600 hours ÷ 7.5 hours = 90 days (3 months) of service …
https://www.osc.ny.gov/retirement/members/preparing-and-applying-for-retirementApplication for Transfer of Membership (RS5534)
To transfer your current Retirement System membership to another public retirement system in New York State use form RS5534.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5534.pdfAffidavit for Benefit Payment (1310.4) (RS4139)
To make a written statement for the purpose of receiving a deceased NYSLRS retiree’s death benefit when there is no executor, administrator of the deceased's estate, surviving spouse, minor child, or beneficiary use form RS4139.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs4139.pdfMember Salary & Service Detail Request (RS2413)
For NYSLRS employers to request salary and service details for members.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2413.pdfEmployees' Retirement System Membership Registration (RS5420)
For NYSLRS employers to enroll new Employees' Retirement System (ERS) members.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5420.pdfApplication to Reinstate a Former Membership (RS5506)
To reinstate a former membership in a public retirement system in New York State, NYSLRS members use form RS5506.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5506.pdfApplication for Ordinary Disability Retirement (RS6038)
For NYSLRS PFRS members and ERS Tier 1 and 2 members to apply for an ordinary disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6038.pdfApplication for 605A Accidental Disability (RS6410)
For NYSLRS court officers and peace officers in the Unified Court System to apply for a 605A accidental disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6410.pdfApplication for 507-A Disability Retirement (RS6409)
For NYSLRS Tier 3, 5 and 6 correction officers and security hospital treatment assistants to apply for a 507-A disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6409.pdfApplication for Accidental Disability Retirement (RS6047)
To apply for an accidental disability retirement, PFRS members, ERS Tier 1 and 2 members and ERS members under Section 605-d and 607-e use form RS6047.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6047.pdfCertification for Determining Independent Contractor or Employee Status (RS2415)
To determine whether an individual they’ve reported is an employee or independent contractor, NYSLRS employers use form RS2415.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2415.pdfDesignation of Beneficiary Trust With Contingent Beneficiaries (RS5127-T)
To change their beneficiary designations, with a trust as either primary or contingent beneficiary, NYSLRS members use form RS5127-T.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5127-t.pdf