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Retirement Online Security Administrator Authorization Form for Local Employers (RS5546)
This form is for local employers to authorize a Security Administrator for Retirement Online, who will be responsible for submitting their location’s security authorization requests and monitoring individuals’ security access.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5546.pdfRetirement Online Contact Administrator Authorization Form for State Employers (RS5545)
This form is for State employers to authorize a Contact Administrator for Retirement Online, who will be responsible for maintaining accurate and complete business contact information for the individuals with whom NYSLRS communicates.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5545.pdfRetirement Online Contact Administrator Authorization Form for Local Employers (RS5544)
This form is for local employers to authorize a Contact Administrator for Retirement Online, who will be responsible for maintaining accurate and complete business contact information for the individuals with whom NYSLRS communicates.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5544.pdfAuthorization for Release of Health Information Pursuant to HIPAA (RS6429)
For NYSLRS members to request that health information regarding care and treatment be released to the Retirement System. HIPAA forms must be submitted with all
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6429.pdfForm W-4P Withholding Certificate for Pension or Annuity Payments (RS4531)
To update your federal tax withholding, which is the amount of federal income tax withheld from your monthly pension payment, NYSLRS retirees and beneficiaries use Form W-4P (RS4531).
https://www.osc.ny.gov/files/retirement/forms/pdf/rs4531.pdfState Agencies Bulletin No. 1949
State Agencies Bulletin No 1949
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1949-pilot-program-establishing-temporary-overtime-rate-employees-certainElection Form for 25 Year Retirement Plan Section 89 (A14CO) (RS5475)
To elect to contribute under Section 89, which provides a retirement of one-half of final average salary after 35 years of creditable service, qualified members use form RS5475.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5475.pdfSurvivor's Benefit Program - Eligibility of Retired Employee for Survivor's Benefit (RS6355)
For NYSLRS employers to determines the eligibility of a retired employee for a survivor’s benefit.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6355.pdfRetirement Option Election Form for Tier 2 Members Designating Multiple Beneficiaries (RS6352-A)
For NYSLRS Tier 2 members to elect an option for how they want their monthly benefit paid at retirement and to designate multiple beneficiaries.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6352-a.pdfRetirement Option Election Form For Tier 1 Members Designating Multiple Beneficiaries (RS6268-A)
For NYSLRS Tier 1 members to elect an option for how they want their monthly benefit paid at retirement and to designate multiple beneficiaries.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6268-a.pdfApplication for Direct Trustee-to-Trustee Transfer for Purchase of Service Credit (RS2416)
For NYSLRS members to apply for a direct trustee-to-trustee transfer for the purchase of optional or previously withdrawn service credit only.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2416.pdfCancellation of Election to Purchase Additional Annuity 21(l) or 321(l) (RS5378)
For NYSLRS Tier 1 & 2 members (and Tier 3 & 5 PFRS members who are non-contributory) to request to discontinue making voluntary contributions to NYSLRS.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5378.pdfState Agencies Bulletin No. 1135
… To inform agencies of new earnings codes and procedures for processing the 2011-2012 APSU Deficit Reduction Plan. … reduction amount up to the total value of the employee’s retroactive adjustment will be deducted from the employee’s … Stipend Payment RGO Regular Pay Override RGS Regular Pay Salary Employee SUP Supplemental Location Pay TSP Military …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1135-2011-2012-deficit-reduction-plan-employees-agency-police-services-unitState Agencies Bulletin No. 2140
… Purpose: The purpose of this bulletin is to provide agency instructions for processing the 2023 Institution Teacher Summer Session Payments. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2140-procedures-processing-2023-summer-session-payments-institution-teachersState Agencies Bulletin No. 2033
The purpose of this bulletin is to provide agency instructions for processing the 2022 Institution Teacher Summer Session Payments
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2033-procedures-processing-2022-summer-session-payments-institution-teachersMilitary Service Credit
… If you served in the U.S. Armed Forces, you may be eligible to purchase credit toward your retirement benefit for your military service. Because service credit is a factor in calculating a NYSLRS retirement benefit, in most … with and without the military service credit to see how it will change if you purchase all or part of your …
https://www.osc.ny.gov/retirement/members/military-service-creditState Agencies Bulletin No. 2242
… is to provide agency instructions for processing the 2024 Institution Teacher Summer Session Payments. Affected … or Confidential in BU06 who work Summer Session in 2024 are affected. Background: Pursuant to CSL Article 8, … fall of 2024 must be terminated effective 09/01/2024. 2024-2025 Academic Year: All procedures for the 2024-2025 academic …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2242-procedures-processing-2024-summer-session-payments-institution-teachersNew York Public Employee Retirement System Special Durable Power of Attorney (RS6450)
The special power of attorney form is used to name an agent to act on your behalf with respect to your retirement benefit transactions.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6450.pdfTier 2, 3 and 4 Post Retirement Death Benefit - Two Designation of Beneficiaries form (RS4471)
For NYSLRS Tier 2, 3 and 4 retirees to designate a post-retirement death benefit beneficiaries.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs4471.pdfElection Form for 25 Year Retirement Plan Sections 89, 603 or 604 – ERS Tier 3 Members Only (RS5473)
To elect to contribute under Section 89, 603 or 604, which provides a retirement of one-half of final average salary after 25 years of creditable service, qualified Tier 3 members use form RS5473.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5473.pdf