Opt Out Election Form – Dispatcher Members – 25-Year Retirement Plan - Tier 4 and Tier 6
Form #177

Form

For Tier 4 and Tier 6 Dispatcher Members who wish to opt out of the 25-Year Retirement Plan for Dispatcher Members. In order to opt out of this plan, you must meet all of the requirements outlined on the form, complete this form and return it to NYCERS within 180 days of becoming a Dispatcher Member. Note that this opt-out election is IRREVOCABLE. 

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