Address Nycers PDF Details

The New York City Employees' Retirement System (NYCERS) provides a crucial service for its members through the Change of Address Form, allowing for updates on the residential information that NYCERS holds on file. Situated at the intersection of administrative necessity and member convenience, this form caters to individuals who find themselves in the position of needing to update their contact details, ensuring that the communication flow between NYCERS and its members remains unimpeded. Designed with clarity in mind, the form requests essential information such as the member's number or first name, last four digits of their Social Security Number, and both new and previous addresses to facilitate a smooth transition. Additionally, it offers options for those receiving monthly payments, including instructions on whether to continue or reroute banking transactions. It underscores the importance of keeping NYCERS informed of any address changes, thereby guaranteeing that members continue to receive important mailings and payments without disruption. Completion of this form requires validation by a Notary Public or Commissioner of Deeds, reinforcing the form's significance and the accuracy of the information provided. By mandating notarization, NYCERS underscores its commitment to safeguarding member accounts and ensuring that changes are legitimately requested by the account holders themselves.

QuestionAnswer
Form NameAddress Nycers
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnycers change address, ny dmv online services change of address, change your address in new york form, nys change of address form

Form Preview Example

NYCERS USE ONLY

F290

Mail completed form to: *290*

30-30 47th Avenue, 10th Fl

Long Island City, NY 11101

Change of Address Form

This application is for members who wish to change their address that NYCERS has on file. Should you have any questions regarding this application, please contact our Call Center at 347-643-3000.

Member Number OR

First Name

Pension Number

Last 4 Digits of SSN

M.I. Last Name

Phone Number

( )

New Address:

IN CARE OF (IF APPLICABLE)

Address

Apt. Number

City

State

Zip Code

Previous Address:

IN CARE OF (IF APPLICABLE)

Address

Apt. Number

City

State

Zip Code

If you are currently receiving monthly payments from NYCERS, check one of the following boxes only.

Continue sending my check to the bank.

OR

Cancel sending my check to the bank.

Please send my check to my new address, as listed above.

Signature of Member

 

 

 

 

 

Date

 

 

 

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

 

 

 

 

 

 

 

 

 

 

 

State of

 

County of

 

On this

 

day of

2 0

 

, personally appeared

 

 

 

 

before me the above named,

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she

executed the same, and that the statements contained therein are true.

If you have an official seal, affix it

Signature of Notary Public or

 

 

Commissioner of Deeds

 

 

 

 

 

 

 

Official Title

 

 

 

 

 

 

Expiration Date of Commission

 

 

 

 

 

 

 

R12/16

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dmv nyc address change empty fields to consider

Include the requested data in the City, Previous Address IN CARE OF IF, Address, City, State, Zip Code, Apt Number, State, Zip Code, If you are currently receiving, Continue sending my check to the, Cancel sending my check to the, Signature of Member, Date, and This form must be acknowledged field.

dmv nyc address change City, Previous Address IN CARE OF IF, Address, City, State, Zip Code, Apt Number, State, Zip Code, If you are currently receiving, Continue sending my check to the, Cancel sending my check to the, Signature of Member, Date, and This form must be acknowledged fields to fill

You may be expected to type in the details to let the software fill in the area State of, County of, On this, day of, personally appeared, before me the above named me to be, If you have an official seal affix, to me known and known to, Official Title, Expiration Date of Commission, and Page of.

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