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  • Ny Rs 5042 2022

Get Ny Rs 5042 2022-2026

Request to Purchase Service Credit (Including any Military Service)Received DateRS 5042Please type or print clearly in blue or black inkNYSLRS IDSocial Security NumberRetirement System check one.

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How to fill out the NY RS 5042 online

This guide provides a clear and supportive approach to filling out the NY RS 5042 form online. The NY RS 5042 is used to request to purchase service credit, including any military service, and this guide will walk you through each section and field of the form.

Follow the steps to fill out the NY RS 5042 form online easily.

  1. Press the ‘Get Form’ button to access the NY RS 5042 online form. It will open for you to begin filling out the required information.
  2. In the first section, provide your NYSLRS ID and the last four digits of your Social Security Number.
  3. Select the Retirement System you are affiliated with by checking the appropriate box: either the Employees’ Retirement System (ERS) or the Police and Fire Retirement System (PFRS).
  4. Fill in your personal information, including your full name (first, middle initial, last), former name if applicable, date of birth in the format MM/DD/YYYY, current home address including street, city, state, and zip code. You may also provide your optional contact information such as telephone number or email address.
  5. Indicate your current employer and the specific department where you work.
  6. If applicable, list your former public employer, specifying the type (such as State, County, City, Town, School, Authority, etc.) and the department or agency of that employer, along with your job title.
  7. Provide details about your employment by filling out the duration (From and To) with the month, day, and year.
  8. Indicate if you are a member of any New York State or City Retirement System by checking the relevant boxes.
  9. Answer whether you have received credit for the service you are requesting in any other retirement system, and if so, indicate which system(s).
  10. Confirm if you are receiving or eligible to receive a retirement allowance based on the service requested.
  11. Review and sign the form, including the date of your signature. Ensure you understand that you will be supplied with the cost for service credit.
  12. After completing the form, you can save your changes, download, print, or share the completed form as necessary.

Complete your NY RS 5042 form online today to ensure you receive the retirement credits you're entitled to.

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