Application for Refund of Member’s Accumulated Salary Deductions
Form #331

Form

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.

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Form 341

Waiver of Right to a Vested Retirement Benefit
Form #341

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.