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Get F521 Application For Service Retirement Tier 2, 3, 4 And 6 ...

Pplication is for Tier 3, 4, 6 and 22-Year Plan vested members who wish to receive payment of their Vested Retirement Benefit. Please check one of the boxes below to indicate your Tier and plan. Read the Temporary Option Election instructions on page 2 before completing this application. Sign the application, have it notarized, and mail it to NYCERS at the address above. If you wish to file this form in person, visit our Customer Service Center on the Mezzanine level at 340 Jay Street in downtow.

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