Membership Withdrawal Forms

Download and print NYSTRS forms. Call our Hotline at 800-782-0289 to request forms be mailed to you.

Forms mailed to NYSTRS will be considered filed on the day they are mailed if they are mailed by registered or certified mail via the U.S. Postal Service, or by an equivalent delivery service that provides mail tracking and is approved for use by NYSTRS. Please see the list of delivery services currently approved by the System.

Fact Sheet (REF-18.1)

Application for Withdrawal From Membership (REF-7A)
Includes After-Tax Contributions Amount (only) if applicable and Tax Notice Regarding Withdrawal of Contributions (REF-7.1).

Taxable Amount (Only) Request for Direct Rollover (REF-30.2)
If filed, must submit with Application for Withdrawal From Membership (REF-7A).

After-Tax Contributions Amount (Only) Request for Direct Rollover (REF-30.3)
If filed, must submit with Application for Withdrawal From Membership (REF-7A).

Request for Direct Transfer of Membership (TRF-3)

Know The Effects of Withdrawing

Before withdrawing your membership, understand the effect on your benefit eligibility, vested death benefit and transfer rights. Learn more: Read about ceasing membership.