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Get NY PRS-3.5 2012-2024

BEFORE JOINING NYSTRS PART 1: TO THE MEMBER: Please complete PART 1 of this form and forward to the employer where service was rendered to complete PART 2. (Please note: If you have not already submitted a Prior Service Claim (PRS-2), you can do so by downloading the form at www.nystrs.org, or by creating a MyNYSTRS account and submitting the form electronically.) Last Name First M.I. Social Security Number Street NYSTRS EmplID City State Is this address your PERMANENT address to be.

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