Name Change Application

Category: #291 | Profile Update | 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: 291

Form #291
This application is for members, pensioners, and beneficiaries who have changed their first or last name. In order for NYCERS to process this application, you must include proof of a legal name change, such as a copy of a Marriage Certificate, Judgment of Divorce, or Court Order. Please return your completed application to NYCERS with the required proof by mail or drop it off at the Walk-in Center in downtown Brooklyn.

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