Disability Retirement Kits
Disability Retirement Kits
Mail completed Disability Applications to NYCERS at 30-30 47th Ave., Suite 1010, Long Island City, NY 11101. Mail Medical forms 605, 606, 607, 608, 609 and 613 to NYCERS’ Medical Division at 335 Adams Street, Suite 2300, Brooklyn, NY 11201. All forms can be brought to our Customer Service Center at 340 Jay Street in downtown Brooklyn.
Tier 1 Disability Retirement
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F601 - Application for Disability Retirement for Tier 1 Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 921 - Disability Retirement – Tier 1 and Tier 2
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 2 Disability Retirement
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F602 - Application for Disability Retirement – Tier 2
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Instructions for Members Filing For Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 921 - Disability Retirement – Tier 1 and Tier 2
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 3 Uniformed Correction Force Disability Retirement
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F603 - Application for Disability Retirement – Tier 3 Uniformed Correction Force Only
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 922 - Disability Retirement – Tier 3 and Tier 4
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
22-Year Plan Disability Retirement
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F625 - Application for Disability Retirement – 22-Year Plan Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 4 Disability Retirement
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F604 - Application for Disability Retirement – Tier 4
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 922 - Disability Retirement – Tier 3 and Tier 4
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 6 63/10 and Special Plans Disability Retirement
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F624 - Application for Disability Retirement – Tier 6 63/10 and Special Plan Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Earnings Limitations for Service Retirees and Disability Retirees
Brochure #958
This brochure describes the earnings limitations that service and disability retirees may be subject to if they decide to return to public service within New York City or New York State.
Disability Retirement – Tier 3 and Tier 4
Brochure #922
The disability retirement process for Tier 3 and 4 members.
Disability Retirement – Tier 1 and Tier 2
Brochure #921
The disability retirement process for Tier 1 and 2 members.
Sanitation Tier 3 22-Year Plan Enhanced Disability Benefit
Fact Sheet #728
The benefits and obligations of the Enhanced Disability Benefit program (EDB) available to participants in the Uniformed Sanitation Force 22-Year Plan (SA-22 Plan).
Disability Appeals Fact Sheet
Fact Sheet #730
Describes the process of appealing a denied disability retirement application and provides a brief overview of each disability law.
Correction Tier 3 22-Year Plan Enhanced Disability Benefit
Fact Sheet #731
The benefits and obligations of the Enhanced Disability Benefit program (EDB) available to participants in the Uniformed Correction Force 22-Year Plan (CF-22 Plan).
WTC Disability Law
Fact Sheet #703
Questions and answers about the World Trade Center Disability Law.
A Notice of Participation in WTC Rescue, Recovery, or Clean-Up Operations (NYCERS Form #622) must be filed no later than September 11, 2018.