Get Change Of Address Form - Lirr Employees - Employee Lirr

This guide will help you complete the CHANGE OF ADDRESS FORM specifically designed for LIRR employees. By following these clear steps, you will ensure a smooth process for updating your address in the MTA Defined Benefit Pension Plan.

Follow the steps to accurately fill out your form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin filling in your personal details in the designated fields. Enter your first name, middle initial (MI), last name, and date of birth. Ensure accuracy for proper identification.
3. Provide your Social Security number in the specified field. This information is critical to process your request correctly.
4. Under the 'Old Address Information' section, enter your previous street address, city, state, and zip code. Double-check this information to ensure it matches your prior records.
5. In the 'New Address Information' section, fill out your new street address (both lines if necessary), city, and include the state and zip code.
6. Enter your daytime phone number and email address to facilitate communication regarding your address change.
7. Affix your signature in the designated area. Remember, the form cannot be processed without your signature.
8. Add the date on which you are signing the form in the provided format.
9. Once you have completed all fields, save your changes, and you can choose to download, print, or share the completed form as required.
10. Finally, mail the completed form to the address: MTA Defined Benefit Pension Plan, 345 Madison Ave, 7th Floor, New York, NY 10017.

Take a moment to complete your change of address form online today!