Application for Refund of Member’s Accumulated Salary Deductions
For members who wish to receive a refund of their accumulated salary deductions. Note that by withdrawing your accumulated salary deductions, your membership and all associated rights, benefits, and privileges will end.
Members with a registered MyNYCERS account can apply for a refund online instead of submitting this paper application.
For members who have at least five but less than ten years of Credited Service and wish to terminate their membership by withdrawing their accumulated member contributions. Note: By filing this form and withdrawing your contributions, you will waive your right to a Vested Retirement Benefit.