Accidental Death Affidavit

Category: #383 | Payments and Taxes , Survivor Benefits , 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: 383

Form #383
This affidavit is for the spouse of a deceased NYCERS member who is receiving an accidental death benefit and is required to attest to his/her marital status each year.

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