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Application for Ordinary Disability Retirement (RS6038)
For NYSLRS PFRS members and ERS Tier 1 and 2 members to apply for an ordinary disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6038.pdfApplication for Transfer of Membership (RS5534)
To transfer your current Retirement System membership to another public retirement system in New York State use form RS5534.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5534.pdfAffidavit for Benefit Payment (1310.4) (RS4139)
To make a written statement for the purpose of receiving a deceased NYSLRS retiree’s death benefit when there is no executor, administrator of the deceased's estate, surviving spouse, minor child, or beneficiary use form RS4139.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs4139.pdfCertification for Determining Independent Contractor or Employee Status (RS2415)
To determine whether an individual they’ve reported is an employee or independent contractor, NYSLRS employers use form RS2415.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2415.pdfDesignation of Beneficiary Trust With Contingent Beneficiaries (RS5127-T)
To change their beneficiary designations, with a trust as either primary or contingent beneficiary, NYSLRS members use form RS5127-T.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5127-t.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.pdfState Agencies Bulletin No. 326
… deductions using an effective date of the first day of the payroll period immediately following the contact end date. … the 2002-2003 academic year will be provided in a future Payroll Bulletin. Questions Deduction inquired may be directed to the Payroll Deductions mailbox. Hourly rate inquiries may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/326-summer-session-procedures-teachers-bargaining-unit-05State Agencies Bulletin No. 396
… deductions using an effective date of the first day of the payroll period immediately following the contract end date. … the 2003-2004 academic year will be provided in a future Payroll Bulletin. Questions Deduction inquiries may be directed to the the Payroll Deductions mailbox. Hourly rate inquiries may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/396-summer-session-procedures-teachers-bargaining-unit-05State Agencies Bulletin No. 397
… annual salaried employees in Bargaining Unit 01, 31, or 61 at least four months (cumulative, 4/1/02 through 3/31/03). …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/397-2003-productivity-gain-program-lump-sum-payments-employees-representedSurvivor’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.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
The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a pilot program establishing temporary overtime rates for employees in certain titles represented by PEF or CSEA working at a SUNY University Hospital
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
The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a pilot program establishing temporary overtime rates for employees in certain titles represented by PEF or CSEA working at a SUNY University Hospital
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-3142-pilot-program-establishing-temporary-overtime-rates