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Office of General ServicesBusiness Services CenterDeclination of Membership in the New York State Employees Retirement System (BSCB4)BSC Benefits Shipbuilding 5, 4th Floor W. Aver ell Harriman State
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01
Obtain the declination of membership form from the respective organization or institution.
02
Read the instructions provided in the form carefully to understand the required information and any supporting documents.
03
Fill out your personal information correctly, including your full name, address, contact details, and any other requested details.
04
Provide accurate information about your current membership status, such as the date you joined and any membership identification numbers.
05
Clearly state your reason for declining or canceling your membership in a concise but respectful manner.
06
Review the filled form to ensure all information is accurate and complete.
07
Sign and date the form as requested.
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Submit the filled declination of membership form to the appropriate department or authority as specified in the instructions.
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Keep a copy of the filled form for your own records.

Who needs declination of membership in?

01
Any individual who wishes to decline or cancel their membership in a particular organization or institution may need to fill out a declination of membership form.
02
This form is typically required by various membership-based organizations, such as clubs, associations, societies, or professional bodies.
03
It serves as a formal communication to officially withdraw from a membership and may also help in updating membership records or managing subscription payments.
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Therefore, anyone who no longer wishes to be a member or is no longer eligible for membership may need to fill out a declination of membership form.
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Declination of membership is a formal statement indicating a refusal to join or participate in a membership organization.
Anyone who has been invited to join a membership organization but chooses not to join.
Fill out the necessary information on the declination form provided by the membership organization.
The purpose of declination of membership is to formally indicate a decision to not join a membership organization.
Personal information such as name, contact information, and reason for declining membership may be required.
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