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Retirement Option Election Form For Tier 3, 4, 5 and 6 Members (RS6399)
To select a pension payment option when applying for retirement, Tier 3, 4, 5 and 6 members with one beneficiary use form RS6399.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6399.pdfRetirement Option Election Form for Tier 3, 4, 5 and 6 Members for Designating Multiple Beneficiaries (RS6400)
To select a pension payment option when applying for retirement, Tier 3, 4, 5 and 6 members with multiple beneficiaries use form RS6400.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6400.pdfApplication for Article 14 Disability Retirement (RS6411)
For NYSLRS ERS Tier 3 members and PFRS Tier 3 members covered by Article 14 benefits to apply for an Article 14 disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6411.pdfApplication for Article 14B Disability Retirement (RS6408)
For NYSLRS county sheriffs, undersheriffs and certain deputy sheriffs whose employers elected coverage under Sections 555, 556, 557 and 558 of the Retirement &
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6408.pdfWithdrawal of Application for Service Retirement (RS6354)
For NYSLRS members to withdraw a service retirement application.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6354.pdfApplication for Article 15 Disability Retirement (RS6340)
For NYSLRS Tier 3, 4, 5 and 6 members to apply for Article 15 disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6340.pdfApplication for Internal Transfer of Membership (RS5535)
To transfer your NYSLRS membership between the Employees’ Retirement System (ERS) and Police and Fire Retirement System (PFRS), use form RS5535.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5535.pdfApplication for Refund of Excess Contributions (RS5195)
To apply for the refund of excess member contributions, NYSLRS Tier 1 & 2 members (and Tier 3 & 5 Police and Fire Retirement System members who are non-contributory), who voluntarily contribute, use form RS5195.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5195.pdfRecertification of the Record of Activities (RS2419)
To affirm that your previous record of activities is still representative of your hours as an elected or appointed official, NYSLRS members use form RS2419.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2419.pdfStandard Work Day Resolution for Employees (RS2418)
For NYSLRS employers to create a resolution establishing the standard working day for employees.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2418.pdfAdjustment Report for Pension Integrity Bureau (RS5527)
For NYSLRS employers to correct a member’s previously reported earnings and/or service.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5527.pdfState Agencies Bulletin No. 1602
To provide agency instructions for new overtime earnings codes to be used for Time Entry overtime payments
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1602-new-overtime-earnings-codes-overtime-eligible-employees-civil-serviceSUNY Bulletin No. SU-314.1
… This bulletin is superseded by Payroll Bulletin No. SU-314.2 . Purpose The purpose of … overtime rates for employees in certain titles represented by PEF or CSEA working at a SUNY University Hospital. … to implementation of the pilot program unless extended by mutual agreement of the parties. The following SUNY …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3141-pilot-program-establishing-temporary-overtime-ratesSUNY Bulletin No. SU-314.2
… and 28108 Upstate University Hospital 28110 and 28118 Long Island State Veterans Home Part of 28050 Effective Dates The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3142-pilot-program-establishing-temporary-overtime-ratesSUNY Bulletin No. SU-314.3
… and 28108 Upstate University Hospital 28110 and 28118 Long Island State Veterans Home Part of 28050 Effective Dates The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3143-pilot-program-establishing-temporary-overtime-ratesState Agencies Bulletin No. 1836
… to COVID-19 preparation and response activities on or after 03/08/2020 are eligible. OSC Actions OSC has created …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1836-reporting-overtime-related-covid-19Survivor’s Benefit Program Notification of Employee’s Death (RS6358)
To notify NYSLRS of a member’s death so that benefits can be paid, New York State agency employers use form RS6358.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6358.pdfElectronic Funds Transfer Direct Deposit Enrollment Application (RS6370)
For NYSLRS retirees to have your monthly benefit electronically deposited to your checking or savings account or change which bank you deposit to.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6370.pdfConsent to New York Jurisdiction and Release (RS6452)
A notarized Consent to New York Jurisdiction and Release form lets NYSLRS accept an out-of-state domestic relations orders (DRO).
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6452.pdfCertification for Individuals Engaged in Certain Professions (RS2414)
To certify attorneys, physicians, engineers, architects, accountants or auditors hired on or after April 1, 2008, NYSLRS employers use form RS2414 for each one.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2414.pdf