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CHANGE OF INFORMATION FORM EMPLOYEES RETIREMENT SYSTEM OF RHODE ISLAND 50 Service Avenue 2nd Floor Warwick RI 02886-1021 Office 401 462-7600 Fax 401 462-7691 Email ersri ersri. Org Web Site www. ersri. org Instructions Please use black ink and print clearly or type. MEMBER INFORMATION Must be completed in all cases SOCIAL SECURITY NUMBER MEMBERSHIP STATUS DATE mm/dd/ccyy OF BIRTH MEMBER BENEFIT RECIPIENT RETIREE OR BENEFICIARY NAME CHANGE/CORREC...
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Start by obtaining a copy of the ersri form from your employer or the relevant government agency.
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Carefully read the instructions provided on the form to understand the information required and any specific guidelines for filling it out.
03
Begin by providing your personal details such as name, address, social security number, and contact information in the designated sections of the form.
04
Proceed to complete the sections related to your employment history, including the name of your employer, dates of employment, and any pertinent details about your job.
05
Pay attention to any additional sections that might require you to provide details related to any eligible beneficiaries or dependents.
06
If applicable, fill out the sections regarding your retirement plan options, contribution amounts, and investment choices.
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Who needs the ersri form?

01
Individuals who are employed or have been employed by an organization that offers the Employees' Retirement System of Rhode Island (ERSRI) as a retirement benefit plan.
02
Employees who wish to enroll in the ERSRI or make changes to their existing retirement account.
03
Individuals who want to designate beneficiaries or dependents to receive retirement benefits in the event of their passing.
04
Anyone seeking to understand and manage their retirement savings and investment options provided by the ERSRI.
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ERSRI form refers to the Employee Retirement System of Rhode Island form. It is a form used by employees to enroll in the retirement system in the state of Rhode Island.
All eligible employees in the state of Rhode Island who want to enroll in the Employee Retirement System are required to file the ERSRI form.
To fill out the ERSRI form, employees need to provide their personal information, employment details, and beneficiary information. They can obtain the form from the ERSRI website or their employer.
The purpose of the ERSRI form is to allow employees in Rhode Island to enroll in the Employee Retirement System, which provides retirement benefits and other related services.
The ERSRI form requires employees to report their personal information such as name, address, Social Security number, employment details including salary and position, as well as beneficiary information.
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