Application for Refund of Member’s Accumulated Salary Deductions

Category: #331 | 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: 331

Form #331
For members who wish to receive a refund of their accumulated salary deductions. Note that by withdrawing your accumulated salary deductions, your membership and all associated rights, benefits, and privileges will end.
Members with a registered MyNYCERS account can apply for a refund online instead of submitting this paper application.