Disability Retirement Kits

Overview

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.

Form 623

WTC Agency Report
Form #623

This form is to be completed by the agency whose employee (or former employee) has filed a Notice of Participation with NYCERS indicating that he/she participated in WTC Rescue, Recovery or Clean-Up Operations during certain qualifying periods between September 11, 2001 and September 12, 2002.

Form 622

WTC Notice of Participation
Form #622

This Notice is for any active, vested or retired member (retired after 9/11/01) who participated in World Trade Center (WTC) Rescue, Recovery or Clean-up Operations between September 11, 2001 and September 12, 2002. This form must be filed with NYCERS no later than September 11, 2018.