Agency’s Employee Status Change Notification

Category: #234 | Membership and Service Credit , Application Form , Tier 1 , Tier 2 , Tier 3 , Tier 4 , Tier 6

Document Type: Application Form

Tier Number: Tier 1, Tier 2, Tier 3, Tier 4, Tier 6

File Number: 234

Form #234
This form is to be completed by any agency to notify NYCERS of a status change for an employee who is already a NYCERS member.

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