Search
Recertification 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-314.3
… Payroll Bulletin No. SU-314.2 Purpose The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a pilot program establishing temporary overtime rates for … Hospital are affected. Background The Memorandum of Agreements (MOAs) between the State of New York, SUNY, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3143-pilot-program-establishing-temporary-overtime-ratesSUNY Bulletin No. SU-314.2
… by Payroll Bulletin No. SU-314.3 . Purpose The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a pilot program establishing temporary overtime rates for … Hospital are affected. Background The Memorandum of Agreements (MOAs) between the State of New York, SUNY, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3142-pilot-program-establishing-temporary-overtime-ratesSUNY Bulletin No. SU-314.1
… by Payroll Bulletin No. SU-314.2 . Purpose The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a pilot program establishing temporary overtime rates for … Hospital are affected. Background The Memorandum of Agreements (MOAs) between the State of New York, SUNY, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3141-pilot-program-establishing-temporary-overtime-ratesState Agencies Bulletin No. 1836
… preparation and response activities. To facilitate tracking in PayServ, new Earns codes have been created. Please note, the tracking of these expenditures in PayServ is separate from … Earn Code: Enter appropriate code Hours/Units/Amount: Number of Hours/Units/Amounts, as applicable Note: Agencies …
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.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.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.pdfRetirement 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.pdfApplication for Performance of Duty Disability Retirement (RS6047-B)
For NYSLRS sheriffs, deputy sheriffs, undersheriffs and county correction officers in counties that elected Sections 63-B, 63-C, 607C and 607D.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6047-b.pdfApplication for Performance of Duty Disability Retirement (RS6047-A)
For NYSLRS correction officers and security hospital treatment assistants who are covered by Chapters 653 and 722 (RSSL) to apply for a performance of duty.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6047-a.pdfStandard Work Day Resolution for Employees (RS2418) - SAMPLE
A sample for NYSLRS employers who need to create a resolution establishing the standard working day for employees.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2418-sample.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.pdfState Agencies Bulletin No. 1485
… Department of Civil Service will submit a file to OSC to cancel health insurance. Agencies must cancel union insurances and maintenance deductions using an …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1485-2016-summer-session-payments-institution-teachersState Agencies Bulletin No. 1409
… agency instructions for processing the 2015 Institution Teacher Summer Session Payments. Affected Employees Teachers … will not be paid unless Summer Session is reported. If the teacher is 21P, is not working Summer Session and will not … of Termination/TER (Term) for the following instances: A teacher who works Summer Session in an agency other than the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1409-2015-summer-session-payments-institution-teachersState Agencies Bulletin No. 1252
… agency instructions for processing the 2013 Institution Teacher Summer Session Payments. Affected Employees Teachers … will not be paid unless Summer Session is reported. If the teacher is 21P , is not working Summer Session and will not … of Termination/TER (Term) for the following instances: A teacher who works Summer Session in an agency other than the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1252-2013-summer-session-payments-institution-teachers