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NYC ERS USE ONLY F561 *561* Retirement Option Election Form Tier 1 Option 4 (Five-Year Certain; Ten-Year Certain) Selecting an option allows you to continue your retirement benefits, after your death,
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How to fill out NYCERS Tier 1 death:

01
Obtain the necessary forms from the NYCERS website or by contacting NYCERS directly.
02
Carefully read the instructions provided with the forms to ensure you understand the requirements and documentation needed.
03
Complete the applicant's section of the form, providing accurate and up-to-date information about the deceased Tier 1 member.
04
Gather any supporting documents required, such as a certified death certificate, marriage certificate (if applicable), and proof of the deceased member's NYCERS Tier 1 membership.
05
If applicable, complete the section for the beneficiary or beneficiaries, providing their relationship to the deceased and any required documentation.
06
Review the completed form and all attached documents for accuracy and completeness.
07
Sign and date the form, and consider obtaining any necessary witnesses or notarization if required.
08
Submit the completed form and supporting documents to NYCERS according to their instructions, whether by mail, fax, or in-person delivery.
09
Keep a copy of the completed form and all submitted documents for your records.

Who needs NYCERS Tier 1 death?

01
Beneficiaries of a deceased NYCERS Tier 1 member may need to complete the NYCERS Tier 1 death form to initiate the death benefit claim process.
02
Surviving spouses, domestic partners, children, or other eligible beneficiaries of a deceased NYCERS Tier 1 member may need to fill out this form to claim any death benefits they may be entitled to.
03
Individuals designated as beneficiaries in the deceased member's NYCERS Tier 1 plan documents may need to complete this form to receive their designated benefits.

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