Get Hr Ben 073

The Hr Ben 073 form is a crucial document for notifying your agency and the MTA/Business Service Center of your separation from MTA headquarters or an MTA agency. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the Hr Ben 073 form and open it in the editor.
2. Begin by filling out Section 2, the Employee Information. Input your BSC ID and AGENCY ID. Then, print your full name, including your last name, first name, and middle initial. Indicate your retirement type by checking one of the options: Normal Retirement, Resignation, Early Retirement, or Disability Retirement.
3. Next, provide your agency or department information by checking the appropriate box (BSC, B&T, CC, HQ, Police, Li Bus, LIRR, MNR, MTA Bus, NYCT, or Other). Enter your department name, home street address, city, state, zip code, and your contact phone numbers (cell, home, and work). Also, include your email address.
4. In this section, you will need to check the pension plan you are enrolled in and follow the associated contact information for each option listed. Make sure you contact the respective pension fund to ask about the next steps.
5. Complete Section 3 by providing a declaration of your retirement or resignation. Print your full name and job title. Indicate the effective date of your separation using the format mm/dd/yyyy.
6. In Section 4, confirm that all information provided is true and correct by signing as the employee. Also, leave space for your supervisor’s signature and date.
7. Finally, ensure that you check the last four digits of your social security number, and verify as needed before submitting. You can then save your changes, download, and print a copy of the form. To complete the process, fax it to 212-852-8700 or email it to bscservice@mtabsc.org.

Complete your Hr Ben 073 form online today for a seamless separation process.