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1. I hereby elect to join the NYS Local Retirement System NYSERS 2. I wish to decline membership at this time in the NYSERS 3. Putnam/Northern Westchester BOARD OF COOPERATIVE EDUCATIONAL SERVICES 200 BOCES Drive Yorktown Heights NY 10598-4399 914 245-2700 This form is for all classified staff members. Membership is optional for all others. E R S I hereby acknowledge that I have been informed by Putnam/Northern Westchester BOCES my employer that as a non-teacher not currently a member of the...
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