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Retirement Option Election FormReceived Date with Partial Lump Sum Payments 6421APlease type or print clearly
in blue or black inkNYSLRS Social Security NumberXXXXX[last 4 digits]Retirement System
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How to fill out retirement option election form

How to fill out retirement option election form
01
Obtain a retirement option election form from your employer or retirement plan administrator.
02
Read the instructions on the form carefully.
03
Provide personal information such as your name, address, and date of birth.
04
Indicate the retirement option you wish to select.
05
If applicable, specify the beneficiary or beneficiaries who will receive the retirement benefits in the event of your death.
06
Review the completed form to ensure all information is accurate.
07
Sign and date the form.
08
Submit the form to your employer or retirement plan administrator.
Who needs retirement option election form?
01
Anyone who is eligible for retirement benefits and wants to make a selection among different retirement options needs the retirement option election form.
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What is retirement option election form?
The retirement option election form is a document that allows employees to choose their retirement benefits and options before they retire.
Who is required to file retirement option election form?
Typically, employees who are planning to retire and wish to select their retirement benefits are required to file the retirement option election form.
How to fill out retirement option election form?
To fill out the retirement option election form, employees must provide personal information, select their desired retirement options, and sign the form before submission.
What is the purpose of retirement option election form?
The purpose of the retirement option election form is to ensure that employees clearly communicate their retirement benefit choices, allowing the retirement system to process their claims correctly.
What information must be reported on retirement option election form?
The retirement option election form typically requires information such as employee name, identification number, retirement date, selected options, and any beneficiary designations.
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