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Retirement 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
… This bulletin is superseded by Payroll Bulletin No. 1949.3 . Purpose The purpose of this … establishing a temporary overtime rate for employees in certain titles represented by PEF or CSEA working at … the Civil Service Employees Association (CSEA), and the Public Employees Federation (PEF) allow specific OCFS …
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
… employee within the purview of the agreement between the State of New York and the Police Benevolent Association of … is effective 1/31/2012 through 3/14/2012 for employees on the Administration cycle New Earnings Codes OSC has … Intermittent Inc Pay-3Day IPO Inc Pay Override S3G Step 3 Out-of-Title Grievance WPS WC 60% Sup WSP Award/Supp Program …
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
… instructions for processing the 2023 Institution Teacher Summer Session Payments. Affected Employees: Teachers in the … BU05 or designated Management or Confidential in BU06 who work Summer Session in 2023 are affected. Background: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2140-procedures-processing-2023-summer-session-payments-institution-teachersState Agencies Bulletin No. 2033
… is to provide agency instructions for processing the 2022 Institution Teacher Summer Session Payments. Affected … or Confidential in BU06 who work Summer Session in 2022 are affected. Background Pursuant to CVS Article 8, … Summer Session and will not return to work in the fall of 2022, the agency must process a termination effective the day …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2033-procedures-processing-2022-summer-session-payments-institution-teachersMilitary Service Credit
… Benefit Projection Calculator. They can contact our Call Center to determine if purchasing military service credit …
https://www.osc.ny.gov/retirement/members/military-service-creditState Agencies Bulletin No. 2242
… complete the New York State Employees’ Retirement System form RS2050 to report service credit for teachers working …
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.pdfRetirement Option Election Form with Partial Lump Sum Payment For Tier 1 Members (RS6419-A)
For NYSLRS Tier 1 members to elect a pension payment option at retirement with a partial lump sum payment and to designate one beneficiary.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6419-a.pdf