Get Ny Nycert Form 624 2019-2025

Filling out the NY NYCERT Form 624 online can streamline your application process for Disability Retirement. This guide will provide you with clear, step-by-step instructions tailored to help users of all experience levels successfully complete the form.

Follow the steps to correctly complete the NY NYCERT Form 624 online.

1. Click ‘Get Form’ button to access the form and open it within your designated document management tool.
2. Read through the application requirements thoroughly. This form must be completed in its entirety for proper processing by NYCERS. Ensure you understand the instructions and terms related to filing for a Disability Retirement.
3. Enter your member information including your member number, last four digits of your Social Security Number, phone number, and date of birth in mm/dd/yyyy format. Also, provide your last name, middle initial, first name, and address.
4. Indicate the disabling conditions you are applying under. Ensure to list conditions as these are the only ones the Medical Board will consider.
5. Select one temporary option regarding your benefits. Review the descriptions of each option carefully and provide the necessary beneficiary information if applicable.
6. Complete the federal tax withholding section by indicating whether you would like to withhold federal income tax from your pension. Mark your preferences clearly.
7. Sign the form in the designated area, ensuring your signature is acknowledged before a Notary Public or Commissioner of Deeds, if submitting by mail.
8. Finally, save any changes made, then download, print, or share the completed form as instructed.

Complete your NY NYCERT Form 624 online today to ensure your application is processed efficiently.