Retiree Forms

Retiree Forms

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

Member Name/Address Change (GRE-50)

Seasonal Address Form (RET-2)
To have NYSTRS mail sent to your seasonal address.

Direct Deposit Authorization Agreement (GRE-54)

W-4P Withholding Election and Certificate (FIN-149)

Reporting Your New York State Public Employment Earnings (RMS-64.1)

Designation of Beneficiary for Retirees Who Elected the Paragraph 2 Death Benefit (NET-11.4)

Designation of Beneficiary for Retirees Who Elected a Guarantee Period Option (RMS-5.3)

Designation of Beneficiary for Retirees Who Elected a Lump Sum Option (RMS-5)

Special Durable Power of Attorney Form
This form is limited to retirement benefit transactions and does not apply to any other matters. Please read the Fact Sheet Regarding Chapter 644 of the Laws of 2008.

Domestic Relations Order Form
Use this online form to draft a Domestic Relations Order.

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