Disability Retirees
Disability Retirees
These forms are used by members who retired under disability to report their annual income to NYCERS.
Safeguards Information Affidavit
Form #350
This form is to be completed annually by all Tier 1 and Tier 2 Disability Retirees to verify your eligibility for continued disability benefits.
Affidavit of Personal Service Income
Form #351
This form is to be completed annually by all Tier 3, Tier 4 and Tier 6 Disability Retirees to verify your eligibility for continued disability benefits. Find out more about Personal Service Income.
Affidavit of Workers’ Compensation Payments
Form #354
Use this affidavit to report Workers’ Compensation payments you have received, and/or are currently receiving.
Earnings Limitations for Service Retirees and Disability Retirees
Brochure #958
This brochure describes the earnings limitations that service and disability retirees may be subject to if they decide to return to public service within New York City or New York State.
Personal Service Income
Fact Sheet #725
Tier 3, Tier 4 and Tier 6 disability retirees are required each year to report any earnings from the public or private sector (Personal Service Income). This fact sheet provides answers to the most frequently asked questions regarding Personal Service Income.