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Get NY NYSLRS RS 6082 2018-2024

Heck one Employees Retirement System (ERS) (Rev. 10/18) Police and Fire Retirement System (PFRS) A copy of this form should be completed and forwarded to the New York State and Local Employee s Retirement System and/or the New York State and Local Police and Fire Retirement System whenever an employee dies. This will enable us to avoid needless delay in initiating payment of benefits to the member s beneficiary. Name of Deceased: (First, Middle Initial, Last) Date of Death: Name.

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