Designation of Guardian – When Designating a Minor as a Beneficiary
Form #137


If your beneficiary is a minor, you may use this form to designate a guardian to claim the benefit on behalf of the minor. This form may be used in conjunction with any of NYCERS’ Designation of Beneficiary Forms.

Members with a registered MyNYCERS account can manage their beneficiary’s guardians online instead of submitting this paper application.