Forms

FRS Pension Forms
W-4P for Pension plan retirees

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W-4P.pdf
form for Pension plan retirees

 

Health Insurance Subsidy (HIS)
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HIS-1.pdf

 

 

FRS Investment Plan Forms
Health Insurance Subsidy (HIS) form for Investment plan retirees
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his-ip.pdf

 

 

PBSO Forms
NYL Beneficiary form
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NYL Beneficiary
Designation Form_VTL_Fillable (003).pdf

 

Retiree monthly rates
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2024 Health
Insurance Rates – Medicare info.pdf

 

Over Age-Dependent 2023
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OAD Affirmation
20223.pdf