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Legal Documents

UNDOCKETED ARREST STATUS REQUEST. (pdf)

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AFFIDAVIT OF SERVICE (pdf)

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AFFIDAVIT OF SERVICE BY MAIL (pdf)

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Health Proxy (pdf)

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Notary Public Oath of Office (pdf)

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Violation-Certificate-of-Correction (1) (pdf)

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AFFIDAVIT FOR CHANGE IN APPEARANCE AND SIGNATURE (pdf)

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Name Change and:or Sex Designation Change Petition for Individual Minor (person under 18) (pdf)

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Name Change and:or Sex Designation Change Petition for a Legally Incapacitated Person (LIP)* (pdf)

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NYCERS Quick Link Retirement Documents

F103 Application for Membership for NYCERS-Eligible Employees – Tier 3, Tier 4, and Tier 6 (pdf)

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F241 Application to Purchase Credit for Service Rendered Prior to Membership Date in NYCERS (pdf)

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F291 Name Change (pdf)

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F302 Loan Application Tier 3, Tier 4 and Tier 6 Basic and Special Plan Members (pdf)

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F349 Federal Tax Withholding Change – W-4P (pdf)

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F351 Affidavit of Personal Service Income - 2022 Tier 3, Tier 4 and Tier 6 Disability Retirees (pdf)

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F380 Authorization for Electronic Fund Transfer (EFT) of Monthly Retirement Allowance Complete this form if you wish (pdf)

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F382 Report of Beneficiary’s Death - Pop-Up Option Elected All Tiers (pdf)

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F399 Affidavit Concerning Lost Check (pdf)

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F615 Authorization for Release of Information (pdf)

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F371 Banking Operations Affidavit (pdf)

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F852 Request for Information (pdf)

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F521 Application for Service Retirement Tier 2, 3, 4 and 6 Members (pdf)

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F309 Application for Change in Loan Repayment Schedule – Tier 3, Tier 4 and Tier 6 (pdf)

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NYCERS Quick Link Retirement Documents

F204 Example Sheet (pdf)

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F204 POA Form (pdf)

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F290 (pdf)

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F556 (pdf)

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Travel & Transportation Documents

Apostille:Certificate of Authentication Request (pdf)

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Application for MTA Reduced-Fare MetroCard for Senior Citizens(65 years or older) (pdf)

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STATEMENT OF CONSENT- ISSUANCE OF A U.S. PASSPORT TO A CHILD (pdf)

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Statement & Verification Forms

Affidavit Stating no Social Security (pdf)

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Template Authorization Letter for: Property (pdf)

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404 Jay St. Brooklyn, NY 11201

Phone: 7185506133

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