Supplemental Designation of Beneficiaries
Form #136


If you wish to name more beneficiaries than the designation form will allow, use this supplemental form and attach it to one of the following:

NYCERS’ Designation of Beneficiary Forms 131, 133, 134 
NYCERS’ Membership Application Forms 101, 103

Members with a registered MyNYCERS account can manage their beneficiaries online instead of submitting this paper application.