Get Ny Nycers F103 2023-2025

The NY NYCERS F103 form is essential for City employees seeking NYCERS membership. This guide will provide clear, step-by-step instructions for successfully filling out the form online.

Follow the steps to complete your NY NYCERS F103 application.

1. Click ‘Get Form’ button to obtain the application and open it for editing.
2. Begin by entering your social security number and date of birth in the respective fields. Ensure accuracy for verification purposes.
3. Provide your personal information, including first name, middle initial (if applicable), last name, daytime phone number, and email address.
4. Indicate your gender by selecting either male, female, non-binary, other, or unknown.
5. Fill in the address fields, including street address, apartment number (if applicable), city, state, and zip code.
6. Complete the section for your date of appointment and date of civil service appointment.
7. Indicate your job title as it appears on payroll and the agency you work for.
8. Choose your classification by checking one of the provided options: competitive, exempt, non-competitive, labor, or provisional.
9. Designate a primary beneficiary for your death benefit. Include their full name, social security number, date of birth, relationship, and address.
10. If you have multiple beneficiaries, ensure to provide their information and allocate the percentage share of the death benefit (totalling 100%).
11. Fill out your family information, including mother's maiden name and marital status.
12. Record any previous service with retirement systems and provide the necessary information, if applicable.
13. If you are a veteran, provide your military service dates.
14. Review the form for completeness. Sign the form and have it notarized in the provided spaces.
15. Save your changes, download, print, or share the completed form according to your needs.

Start your application today by completing the NY NYCERS F103 online.