Get Rs 5127

Filling out the Rs 5127 form is an essential step for active members of the New York State Retirement System who wish to designate beneficiaries for their ordinary death benefits. This guide provides clear, step-by-step instructions on how to complete the form correctly.

Follow the steps to fill out your Rs 5127 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the member information section. Enter the last four digits of your Social Security number, registration number (if known), and your date of birth. Ensure that you print clearly using capital letters and stay within the designated boxes.
3. Input your full name, including your last name, first name, and middle initial. Next, provide your street address, city, state, and zip code. Make sure all information is accurate and legible.
4. In the employed by section, fill in the name of your employer and their address. This information is vital for the Retirement System.
5. Proceed to the designation of primary beneficiaries. Clearly fill out the names of your primary beneficiaries, their relationships to you, and their addresses. Remember that if you have multiple primary beneficiaries, they will share any benefit equally.
6. Next, fill out the designation of contingent beneficiaries. List their names, relationships, and addresses, making sure you understand that if all primary beneficiaries predecease you, benefits will go to these contingent beneficiaries.
7. Once you have completed all relevant sections, review the form thoroughly to ensure all fields are accurately filled out.
8. Sign and date the form. Then, ensure that the form is notarized by a public notary who will also enter their expiration date.
9. Finally, mail your completed form to the New York State and Local Retirement System at the address provided in the instructions to ensure it is processed correctly.

Complete your Rs 5127 form online today to secure your beneficiaries' future.