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NYC ERS USE ONLY F622 *622* Notice of Participation in WTC Rescue, Recovery or Clean-Up Operations All Tiers This Notice is for any active, vested or retired member (retired after 9/11/01) who participated

How to fill out nycers f 622 form

Point by point instructions on how to fill out NYCERS form F622:

1. Obtain the NYCERS form F622 from the NYCERS website or the NYCERS office.
2. Fill out the personal information section accurately, providing your name, address, social security number, and contact information.
3. Provide your employment information, including the name of your employer, job title, and dates of employment.
4. Indicate the reason for completing the form by selecting the appropriate option from the provided choices.
5. Read and understand the instructions for each section of the form before filling it out.
6. Complete the sections related to your retirement eligibility, by indicating your retirement plan and date of membership.
7. Provide specific details about your retirement plans, such as the type of retirement plan you wish to choose and any beneficiary designations.
8. Fill out the income information section accurately, including your estimated pension option and other anticipated income sources in retirement.
9. Complete the section related to your health insurance preferences, indicating if you want to enroll in a NYCERS-sponsored health insurance program.
10. Review the completed form thoroughly, ensuring all the information provided is correct and accurate.
11. Sign and date the form in the designated areas.
12. Submit the completed NYCERS form F622 to the NYCERS office, either by mail or in person.

Who needs NYCERS form F622?

1. NYCERS form F622 is required for all NYCERS members who are planning to retire and want to apply for retirement benefits.
2. It is necessary for any NYCERS member who wants to choose a specific retirement plan option or make beneficiary designations.
3. Additionally, any NYCERS member who wishes to enroll in a NYCERS-sponsored health insurance program must complete this form.

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What is nycers form f622?

NYCERS Form F622 is a form used by members of the New York City Employees' Retirement System (NYCERS) to designate beneficiaries for death benefits.

Who is required to file nycers form f622?

All NYCERS members who wish to designate beneficiaries for their death benefits are required to file Form F622.

How to fill out nycers form f622?

To fill out NYCERS Form F622, members need to provide their personal information, such as name, address, and social security number, and the information of their chosen beneficiaries, including their names, relationships, and contact information.

What is the purpose of nycers form f622?

The purpose of NYCERS Form F622 is to ensure that NYCERS members' death benefits are distributed according to their wishes and to avoid any confusion or disputes regarding beneficiary designations.

What information must be reported on nycers form f622?

NYCERS Form F622 requires members to report their personal information, such as name, address, and social security number, as well as the information of their chosen beneficiaries, including their names, relationships, and contact information.