E you read and understand the Instructions before nominating a beneficiary. Should you have any questions, please feel free to contact our Call Center at 347-643-3000. Member Number Last 4 Digits of Social Security # Date of Birth MM/DD/YYYY / First Name M.I. / Last Name In Care of (if applicable) Address Apt. Number City State Zip Code Designation of Beneficiaries: In the following you can designate beneficiary(ies) for your Ordinary Death Benefit. When combined, the percentages must.

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How to fill out the NY NYCERS F133 online

Filling out the NY NYCERS F133 form is an essential step for Tier 3, 4, and 6 members who wish to designate a beneficiary for their death benefit. This guide will provide you with a clear and step-by-step approach to complete the form accurately and confidently.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to access the F133 form and open it in your selected editing tool.
  2. Begin by entering your Member Number, last four digits of your Social Security number, and your Date of Birth in the format [MM/DD/YYYY]. Next, provide your full name, including your first name and middle initial, and your last name.
  3. Fill in your address details, including your apartment number (if applicable), city, state, and zip code.
  4. In the Designation of Beneficiaries section, list each beneficiary’s full name, including first name, middle initial, and last name. You must also provide their full Social Security number, Date of Birth, relationship to you, and complete address, which includes number, street, city, state, and zip code.
  5. Indicate the percentage of the benefit that each beneficiary will receive. Ensure that all percentages total 100%.
  6. If any beneficiary is a minor, check the appropriate box and complete the guardian information using Form 137.
  7. Sign the form in the designated area for the Signature of Member, ensuring you do so in the presence of a Notary Public or Commissioner of Deeds.
  8. Complete the acknowledgment section on page 2 before the Notary Public or Commissioner of Deeds. Make sure to return all pages of the form, even if portions were left blank.
  9. Finalize your form by saving any changes, downloading, printing, or sharing it as needed.

Take the first step towards securing your benefit by completing the NY NYCERS F133 form online today.

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