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State Agencies Bulletin No. 1949
… Highland Residential Center Taberg Residential Center for Girls Harriet Tubman Residential Center Brentwood Residential …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1949-pilot-program-establishing-temporary-overtime-rate-employees-certainRequest 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.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.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.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.pdfState Agencies Bulletin No. 1135
… Administrative Maintenance Pay Bonus Pay Fringe Benefits Health Insurance Opt-Out Holiday Pay Lost Time Lump Sum …
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. 2033
… 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/2033-procedures-processing-2022-summer-session-payments-institution-teachersState Agencies Bulletin No. 2242
… Summer Session as determined by the facility. Eligibility Status: Contracts for 21P teachers will end on the last day …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2242-procedures-processing-2024-summer-session-payments-institution-teachersState Agencies Bulletin No. 2140
… 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/2140-procedures-processing-2023-summer-session-payments-institution-teachersMilitary Service Credit
… eligible to purchase credit toward your retirement benefit for your military service. Because service credit is a factor … There are different sections of the law that allow credit for military service. The cost of the credit depends on which … will increase your pension, but there are exceptions. For example, certain retirement plans have a maximum benefit, …
https://www.osc.ny.gov/retirement/members/military-service-creditApplication 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.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.pdfNew 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.pdf