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State Agencies Bulletin No. 164
… for summer session worked directly to ERS using the Form RS-2050. Do not report summer session earnings to ERS. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/164-summer-session-procedures-teachers-bargaining-unit-05State Agencies Bulletin No. 1920
… of this bulletin is to provide agency instructions for new overtime earnings codes to be used for Time Entry overtime payments. Affected Employees Employees who are … any payments using override Earnings Codes such as OTT and OTO. Tax Information These monies are taxable income …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1920-new-overtime-earnings-codes-overtime-eligible-employees-agency-policeService Credit for Tiers 2 through 6
… for additional service, you must request it. See the How to Request Credit section for details. Your request will … payment must be completed within one year. Note: We do not accept payments from non-vested members who are off … system while you have active memberships in both systems, i.e., your memberships have not been withdrawn or terminated. …
https://www.osc.ny.gov/retirement/publications/service-credit-tiers-2-through-6Application for World Trade Center Accidental Disability Presumption (RS6047-W)
For NYSLRS members involved in the rescue, recovery or clean up operations of the World Trade Center aftermath to apply for a disability retirement.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6047-w.pdfApplication for Conversion of Service or Disability Retirement to Accidental Death Benefit for Victims of the 2001 World Trade Center Disaster (RS6418-W)
To convert a retirement benefit to an accidental death benefit for victims of the 2001 World Trade Center disaster, NYSLRS beneficiaries use form RS6418-W.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6418-w.pdfRetirement Option Election Form with Partial Lump Sum Payment For Tier 2, 3, 5 and 6 Members (RS 6421-A)
To select a retirement benefit payment option, Tier 2, 3, 5 and 6 members with one beneficiary who are opting for a partial, lump sum payment use form RS6421-A.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6421-a.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-certainAuthorization 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.pdfRetirement Online Security Administrator Authorization Form for State Employers (RS5547)
This form is for State 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/rs5547.pdfRetirement 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.pdfRequest to Purchase Service Credit (Including any Military Service) (RS5042)
To request service credit for your public service before you became a member of NYSLRS, or to request credit for military service, NYSLRS members use RS5042.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5042.pdfElection 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.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.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.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 20112012 APSU Deficit Reduction Plan
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1135-2011-2012-deficit-reduction-plan-employees-agency-police-services-unit