General Authorization for Medical Information

Category: #608 | Disability Retirement | 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: 608

Form #608
This form authorizes NYCERS to obtain medical information pertaining to those filing for disability.

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