Address Nycers PDF Details

The New York City Employees' Retirement System (NYCERS) administers pension benefits for over 375,000 active and retired city employees. The Change of Address Form lets any member update the mailing address NYCERS holds on file. Keeping your address current ensures you receive pension checks, tax documents, and annual benefit statements without disruption.

Who Needs to File This Form

File this form if you are a current or retired NYCERS member and your mailing address has changed. This applies if you receive any of the following:

Members who receive payments by direct deposit must still update their mailing address. NYCERS continues to send tax documents and benefit notices by mail regardless of payment method.

What Information You Need to Provide

Have the following details ready before you begin filling out the form:

Notarization Requirement

NYCERS requires this form to be notarized before submission. A Notary Public or Commissioner of Deeds must verify your identity and witness your signature. This requirement protects your account from unauthorized changes that could redirect pension payments or misdirect important documents.

The notarization section at the bottom of the form includes fields for the state and county, the notary's official title and seal, and the commission expiration date. Notary services are available at most NYC banks, public libraries, and government offices, often at no charge.

Frequently Asked Questions

How long does an address change take to take effect?
NYCERS typically processes address updates within 5 to 10 business days after receiving your completed, notarized form. Changes submitted near the end of a month may not apply until the next payment cycle.

Can I update my address online instead?
Yes. NYCERS offers an online option through the MyNYCERS member portal. The paper form is the preferred option for members who want to submit changes by mail or in person at a NYCERS service center.

What happens if my address is outdated?
Pension checks, tax forms, and benefit notices sent to an incorrect address may be returned or lost. Uncashed checks are held by NYCERS but delays in re-processing can affect your payment schedule. Submit this form as soon as your address changes.

Does this form also update my direct deposit account?
No. This form updates your mailing address only. To change your direct deposit banking details, contact NYCERS directly or use the MyNYCERS online portal.

Where do I submit the completed form?
Mail your notarized form to NYCERS at 340 Jay Street, Brooklyn, NY 11201, or deliver it in person. NYCERS requires original notarized documents and does not accept submissions by fax or email.

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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How to Edit Address Nycers Online for Free

Completing the NYCERS Change of Address Form online is fast and simple. The free PDF editor lets you fill in all required fields, save your form, and print a copy ready for notarization.

Step 1: Open the Form. Click the "Get Form Here" button at the top of the page to launch the online PDF editor. No registration or software download is required.

Step 2: Enter Your Personal and Address Information. On the editing page, click each field to enter your details. You can type directly into any field, add check marks, highlight text, and insert your signature. The fields in the upper section of the form include your name, NYCERS member number, and both your old and new mailing addresses, including apartment number, city, state, and ZIP code.

dmv nyc address change empty fields to consider

Step 3: Complete the Payment Routing Section. If you receive monthly pension payments by check, use the checkboxes in the middle section to indicate whether to continue sending your check to the new address or cancel check delivery. Enter your signature and the date on the member signature line. This section also includes fields for the city, state, and ZIP code associated with your payment address.

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

Step 4: Get the Form Notarized. Print your completed form and take it to a Notary Public or Commissioner of Deeds. The notary fills in the bottom section with the state, county, and date, along with their official title, seal, and commission expiration date. Most NYC banks and public libraries offer free notary services.

step 3 to filling out dmv nyc address change

Step 5: Save and Submit. Click "Done" to download your completed form. Print at least two copies, one to submit and one for your records. Mail or hand-deliver your original notarized form to NYCERS. NYCERS does not accept submissions by fax or email.

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