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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