Disability Retirement Kits

Use this form to name a beneficiary to receive a one-time lump-sum benefit upon your death after retirement (Tier 2, Tier 4, and Tier 6 only).

Use this application if you are a Tier 4 member and wish to collect a retirement benefit due to disability.

Use this application if you are a Tier 2 member and wish to collect a retirement benefit due to disability.

Use this form to authorize the New York City Employees’ Retirement System (NYCERS) to provide information and/or records to someone other than the NYCERS member, pensioner, or beneficiary.

This form must be completed by your employer.

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.

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.

The disability retirement process for Tier 1 and 2 members.

This form is for applicants for disability retirement benefit who want to waive the process by which a member can contest the findings of NYCERS’ Medical Board denying his or her disability claim

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).

This application is to accompany your application for Disability Retirement.