Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Ny Rs 5042 2011

Get Ny Rs 5042 2011

-0001 (Rev. 6/11) Name D.O.B. (Print or Type) Previous Name Registration Number S.S. Number You May Have Been Using By Whom Currently Employed Department Where Now Employed (Indicate whether State, County, City, Town, Village, Sp.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the NY RS 5042 online

Filling out the NY RS 5042 form is essential for individuals looking to request additional retirement service credit. This guide will walk you through the process step-by-step, ensuring that you complete the form accurately and efficiently.

Follow the steps to complete the NY RS 5042 online.

  1. Click the ‘Get Form’ button to obtain the NY RS 5042 form and open it in your form editor.
  2. Begin by entering your name in the provided field, ensuring it is printed or typed clearly. Follow this by entering your date of birth.
  3. If applicable, include your previous name in the designated section, along with your registration number and Social Security number. If you have been using an alternate name, please indicate that as well.
  4. Indicate your current employment by filling in the name of your employer and the department where you are currently situated. Specify if the employer is State, County, City, Town, Village, or Special District.
  5. Provide a record of additional service not included in your former statement. List any public employer where you worked during the claimed previous services, including the name of the department or agency.
  6. If relevant, include the name of the retirement system you were a member of and your registration number from that previous membership.
  7. Complete the section outlining your additional service claimed, specifying the length of service, including the start and end dates for each position held.
  8. Fill in your current home address, including city, street, state, and zip code, followed by your telephone number.
  9. Sign the form in the designated area to validate your request.
  10. Once you have filled out all sections accurately, save any changes made to the form. You can also download, print, or share the completed form as needed.

Begin the process of completing your NY RS 5042 form online today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Request for Previous Service RS 5042 - Tompkins...
Request for Previous Service. RS 5042. (Rev. 6/11). Office of the New York State...
Learn more
New York State and Local Retirement System (NYSLRS...
Download the NYSLRS Request to Purchase Service Credit (RS 5042) Form Download pdf...
Learn more
Remote Control Preset Codes (AV7703) - Marantz
5034, 5042, 5035, 5036. H Hitachi. 5031, 5032, 5033. I Integra. 5013. J JVC. 5037, 5041...
Learn more

Related links form

Narmform Certified Hyperbaric Technologist Online Ceu Form Application For Professional License Renewal. License Renewal - Doe Mass Acams Recertification

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get NY RS 5042
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
NY RS 5042
This form is available in several versions.
Select the version you need from the drop-down list below.
2022 NY RS 5042
Select form
  • 2022 NY RS 5042
  • 2016 NY RS 5509
  • 2011 NY RS 5042
Select form