Application for Membership for NYCERS-Eligible Employees – Tier 3, Tier 4, and Tier 6
Form #103


For City employees who wish to apply for NYCERS membership. You may also nominate a beneficiary for a death benefit payable if you die while in City service. 

Employees joining Tier 3, 4, or 6 can now submit their membership application online.

What Tier am I?