
Get the free NYCERS Notice of Participation - Form 622 - New York City ...
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F622NYCERS USE ONLY×622*
Notice of Participation in WTC Rescue, Recovery
or Cleanup Operations
All Tiers
This Notice is for any active, vested or retired member (retired after 9/11/01) who participated
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How to fill out nycers notice of participation

How to fill out nycers notice of participation
01
To fill out the NYCERS Notice of Participation, follow these steps:
02
Begin by providing your personal information such as name, address, social security number, date of birth, and contact details.
03
Next, indicate the type of retirement plan you are participating in and the start date of your participation.
04
If you are applying for a refund, specify the reason for the refund and provide any necessary documentation.
05
If you are designating a beneficiary, fill out the beneficiary section with their personal information and relationship to you.
06
Sign and date the form, certifying that the information provided is accurate and complete.
07
Submit the completed form to the NYCERS office either in person or by mail.
Who needs nycers notice of participation?
01
Anyone who is a member or participant of the New York City Employees' Retirement System (NYCERS) needs the NYCERS Notice of Participation.
02
This form is used to indicate your participation in the retirement plan and to provide important information about your personal details, beneficiary designation, and refund requests.
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What is nycers notice of participation?
NYCERS Notice of Participation is a document that notifies the New York City Employees' Retirement System (NYCERS) about an employee's intent to participate in the retirement system.
Who is required to file nycers notice of participation?
All new employees who are eligible to join the NYCERS retirement system are required to file the NYCERS Notice of Participation.
How to fill out nycers notice of participation?
To fill out the NYCERS Notice of Participation, an employee should complete the required personal information section, indicate their eligibility, and submit the form to their HR department.
What is the purpose of nycers notice of participation?
The purpose of the NYCERS Notice of Participation is to formally enroll eligible employees in the NYCERS retirement system and ensure they receive relevant benefits.
What information must be reported on nycers notice of participation?
The information required includes the employee's name, social security number, job title, the date of hire, and other personal identification details.
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