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The Address NYcers form is a crucial document for members of the New York City Employees Retirement System (NYCERS) who need to update their personal information with the organization. This form allows individuals to provide their new address, ensuring that important correspondence, including pension payments, reaches them without interruption. Completing the form requires members to fill in identifying details such as their member number, pension number, last four digits of their Social Security Number, and contact information. To facilitate a smooth transition, the form also asks for the previous address to ensure proper processing of the change. For those receiving monthly payments, specific options are included to either continue sending checks to the current bank or redirect them to the new address. Each member’s signature on the form must be notarized or acknowledged by a Commissioner of Deeds, affirming the authenticity of the submission. It is essential for members to send the completed form directly to NYCERS at the designated address listed on the document to ensure timely updates.

Address Nycers 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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Form Characteristics

Fact Name Description
Form Purpose This form allows NYCERS members to update their address on file.
Mailing Address Completed forms should be sent to NYCERS at 30-30 47th Avenue, 10th Fl, Long Island City, NY 11101.
Contact Information The NYCERS Call Center can be reached at 347-643-3000 for questions related to the application.
Member Identification Members must provide their member number, pension number, or the last four digits of their Social Security Number.
New Address Details The form requires the member's new address, including city, state, and zip code.
Previous Address Members must also supply their previous address details on the form.
Payment Options Members receiving monthly payments can choose to continue sending payments to the bank or change the address for the checks.
Signature Requirement A signature from the member is required, along with a date.
Notary Requirement The form must be acknowledged by a Notary Public or Commissioner of Deeds.
Governing Law This form follows guidelines set forth by New York State law regarding pension administration.

Guidelines on Utilizing Address Nycers

To effectively change your address registered with NYCERS, follow the outlined steps below to ensure all necessary information is included. Completing this form correctly is essential for maintaining accurate records for pension or benefit communications.

  1. Begin by locating the NYCERS Change of Address Form.
  2. Fill in your member number, or your first name, last name, middle initial, and the last four digits of your Social Security Number.
  3. Provide your phone number in the designated section.
  4. In the New Address section, enter your updated address details, including in care of if applicable, address, apartment number, city, state, and zip code.
  5. Next, complete the Previous Address section in the same manner if you wish to provide your old address.
  6. If you currently receive monthly payments from NYCERS, select your preference by checking one of the following boxes:
    • Continue sending my check to the bank.
    • Cancel sending my check to the bank.
    • Please send my check to my new address, as listed above.
  7. Sign and date the form in the provided space.
  8. Finally, take the form to a Notary Public or Commissioner of Deeds for acknowledgment, completing the required fields.

Once the form is filled out completely and signed in the presence of a notary, mail it to NYCERS at the specified address: 30-30 47th Avenue, 10th Fl, Long Island City, NY 11101. Ensure you keep a copy for your records.

What You Should Know About This Form

What is the purpose of the Address Nycers form?

The Address Nycers form is designed for NYCERS members who need to update the address on file. Keeping your address current is essential to ensure that you receive important communications and any benefits related to your pension. An accurate address helps avoid delays or issues with processing your payments or sending important information.

How do I complete the Address Nycers form?

To complete the Address Nycers form, fill in your member number, first name, pension number, last four digits of your Social Security number, middle initial, last name, and phone number. Next, provide your new address and, if applicable, the previous address. Additionally, if you are receiving monthly payments, indicate whether you wish to continue having checks sent to the bank or to your new address. Finally, ensure to sign the form, and remember that it must be acknowledged before a Notary Public or Commissioner of Deeds.

Where should I send the completed form?

After completing the Address Nycers form, mail it to the following address: NYCERS F290, 30-30 47th Avenue, 10th Floor, Long Island City, NY 11101. Confirm that all sections are properly completed to avoid any processing delays.

What if I have questions about the form or my address change?

If you have questions regarding the Address Nycers form or need assistance with your address change, please contact the NYCERS Call Center at 347-643-3000. It’s crucial to address any concerns promptly to ensure that your request is handled without unnecessary delays.

Common mistakes

Filling out the Address NYCERS form can seem straightforward, yet many individuals encounter common pitfalls that can delay their address change request. One frequent mistake occurs when people overlook providing their Member Number or Pension Number accurately. This identification is crucial for NYCERS to process your request efficiently. Failing to ensure the numbers are correct may lead to misunderstandings or delays in updating your records.

An additional error that often arises involves the inclusion of incomplete or incorrect address information. Individuals sometimes forget to fill in their apartment number or provide an outdated or incorrect zip code. Such oversights can cause confusion or ensure that correspondence continues to be sent to the wrong location. Including all relevant details, such as "IN CARE OF" if applicable, ensures that NYCERS can locate your new address without any difficulties.

Another mistake frequently made is neglecting to indicate the appropriate option regarding monthly payments. The form provides choices about whether to continue sending checks to a bank or to the new address. Omitting this selection can lead to failure in directing the funds properly, resulting in a potential lapse in receiving payments. It's essential to make this choice clear and unmistakable to ensure financial continuity.

Moreover, many individuals fail to involve a Notary Public or Commissioner of Deeds when signing the document. The form explicitly states the need for notarization, and without this step, the request cannot be processed. Many people rush through the process and might overlook this crucial requirement, mistakenly thinking their signature alone suffices.

Finally, some applicants ignore the importance of reviewing their forms before submission. Typos or missing information can occasionally sneak in, and failing to check the completed form can lead to unnecessary complications down the line. Taking a few extra moments to verify all entries can save time and effort in the long run.

Documents used along the form

When changing your address with NYCERS, there are several important documents that may accompany the Address Nycers form. These forms help ensure that all necessary information is properly submitted and recorded. Below is a brief overview of related documents you might encounter.

  • Identification Verification Form: This form is used to confirm your identity when submitting an address change. It typically requires your personal information and may ask for specific identification documents, such as a government-issued ID or utility bill with your name and previous address.
  • Direct Deposit Authorization Form: If you want your retirement benefits or pension checks deposited directly into your bank account at your new address, this form will facilitate the setup. It collects banking information and authorizes NYCERS to make direct electronic deposits.
  • Change of Beneficiary Form: Moving can prompt individuals to reevaluate their beneficiary designations. This form allows you to update or change the person(s) designated to receive benefits in the event of your death, ensuring that your wishes are up-to-date following your address change.
  • Health Insurance Portability Form: For retirees, this document helps update your health insurance information based on your new address. It ensures you continue to receive the health benefits you're entitled to, especially if you're moving to a different state or county.

It is important to ensure that all required documents are completed and submitted along with the Address Nycers form. Taking these steps will help prevent unnecessary delays in processing your address change and maintain the accuracy of your personal records with NYCERS.

Similar forms

The Address Nycers form, which is used to update a member's address within the New York City Employees' Retirement System, shares similarities with several other important documents. Here are ten documents that resonate with the purpose and structure of the Address Nycers form:

  • Change of Address Form for the United States Postal Service: Like the Address Nycers form, this document allows individuals to officially update their mailing address to ensure they receive their mail at the correct location.
  • Bank Account Change Request Form: This form is utilized by bank customers wishing to update their personal information, including addresses, ensuring that important financial statements are sent to the correct address.
  • Voter Registration Change Form: Similar in function, this form allows voters to update their address information with election officials, which is crucial for maintaining accurate voting records.
  • Insurance Policy Change Form: Insured members can use this document to report a change of address to their insurance company, ensuring correspondence and claims processing occur at the right location.
  • Social Security Administration (SSA) Change of Address Form: Like the Address Nycers form, this document enables individuals receiving Social Security benefits to update their address, ensuring benefit checks are sent accurately.
  • Department of Motor Vehicles (DMV) Address Change Form: Individuals must inform the DMV of any address changes, similar to the process in the Address Nycers form, to keep their driver's license information current.
  • Employee Information Change Form: For employees wishing to update their personal information with their employer, this form serves a similar purpose by formally documenting any changes, including addresses.
  • Rental or Lease Agreement Modification Form: This form can be used by tenants to officially request changes regarding their lease terms, including updates to personal contact information.
  • Medical Provider Update Form: Patients may use this form to inform healthcare providers of changes to their address, ensuring they receive communications regarding their health services.
  • Tax Authority Change of Address Form: Taxpayers are required to inform the relevant tax authority of any address updates, akin to the Address Nycers form’s purpose of correcting members' information on file.

Each of these forms serves as a critical tool for maintaining up-to-date records, ensuring that important communications reach individuals in a timely manner. They all require specific identifying information to process the changes and often involve a declaration of authenticity, indicative of their official nature.

Dos and Don'ts

When filling out the Address NYCERS form, keeping some key points in mind can help ensure a smooth process. Below is a list of things you should and shouldn't do:

  • Do use clear and legible handwriting to fill out the form.
  • Do include all required information, such as your member number and previous address.
  • Don't forget to sign the form before submitting it.
  • Don't leave any sections blank; make sure every applicable part is filled out.

Misconceptions

Understanding the Address NYCERS form is crucial for members wishing to update their contact information. However, there are several misconceptions surrounding this form. Below is a list of common misunderstandings, along with clear explanations to help clarify the process.

  1. It can be submitted without a notary. Many believe that a notary is not required for this form. In fact, the signature must be acknowledged before a Notary Public or Commissioner of Deeds.
  2. Only current members can use the form. Some think the form is limited to active members. In reality, former members who have not withdrawn their benefits can also submit this change of address form.
  3. You can update your address online. People often assume that they can simply log in to a website to make changes. However, the Address NYCERS form must be completed and mailed physically.
  4. Changing your address automatically updates all records. Many believe that submitting this form updates all personal records. While it changes the address with NYCERS, it does not update other organizations or agencies automatically.
  5. It’s only for postal address changes. Some think the form only applies to mailing addresses. The form can also be used to change the address where you receive your pension benefits.
  6. You don’t need to specify previous addresses. A misconception exists that only the new address needs to be provided. However, the form requires both your new address and previous address to verify your identity and ensure accuracy.
  7. Submitting the form guarantees instant address change. Some may believe that the change takes effect immediately. Processing times can vary; it is advisable to allow sufficient time for the change to be reflected in your records.
  8. It’s acceptable to submit the form via email or fax. Many individuals mistakenly think that electronic submissions are permitted. This form must be physically mailed to the specified address.
  9. Signature requirements are flexible. There is a belief that any signature will suffice. It is critical that the form is signed in the presence of a notary, who will then acknowledge the signature.
  10. You can use this form to update other personal information. Some users assume that they can update different details, like phone numbers or names, with this form. However, the purpose of this form is strictly to change addresses.

Understanding these misconceptions can make the process smoother and ensure that all members effectively manage their information with NYCERS.

Key takeaways

Filling out the Address NYcers form requires attention to specific details. Here are key takeaways to consider:

  1. Purpose of the Form: This form is designed for members who wish to update their address on record with NYCERS.
  2. Submission Method: Complete the form and mail it to NYCERS at 30-30 47th Avenue, 10th Floor, Long Island City, NY 11101.
  3. Member Identification: Include your Member Number or first name, pension number, and the last four digits of your Social Security Number for identification.
  4. Contact Information: Provide an up-to-date phone number for any follow-up communication regarding the address change.
  5. New and Previous Addresses: Clearly list both your new address and previous address, including city, state, and zip code.
  6. Payment Instructions: If you are receiving monthly payments from NYCERS, specify if you want your checks to continue at the bank or to be sent to your new address.
  7. Signature Requirement: Your signature is required on the form, affirming the accuracy of the information provided.
  8. Notarization Needed: The form must be acknowledged before a Notary Public or a Commissioner of Deeds.
  9. Notary Information: The notary must document their official title and provide the expiration date of their commission.
  10. Keep Copies: It is advisable to keep a copy of the completed form for your records after mailing it to NYCERS.

These steps will help ensure that your address change is processed smoothly and correctly by NYCERS.