Get Ny Nycers F399 2018-2026

The NY NYCERS F399 form, known as the Affidavit Concerning Lost Check(s), is essential for members and pensioners who need to report the loss of a check. This guide will provide you with a step-by-step approach to filling out the form accurately and efficiently online.

Follow the steps to complete the NY NYCERS F399 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your member number or pension number and the last four digits of your Social Security Number. Include your first name, middle initial, and last name for identification purposes.
3. Provide your home and work phone numbers so that NYCERS can contact you if necessary.
4. Enter your current home address, ensuring that you include the apartment number if applicable, city, state, and zip code.
5. Choose the type of check(s) lost by checking the appropriate boxes in either Section A or Section B as per your situation.
6. Complete the statement section by listing all of the missing checks, including the amounts and dates as specified.
7. Affirm the information by signing the form, ensuring to have it notarized as required. Provide the date and any new address if applicable.
8. If applicable, include banking information for direct deposit by attaching a voided check or deposit slip, and specifying your account type.
9. Review all the completed information for accuracy before finalizing.
10. Save changes, download, print, or share the completed form as needed. Ensure it is mailed to the address specified on the form.

Complete your NY NYCERS F399 form online today to report your lost check(s).