Beneficiary Designation
Beneficiaries
Forms needed for retirees to name a beneficiary or report the death of a beneficiary.
Designation of Beneficiary – Post-Retirement Lump-Sum Death Benefit – Tier 2, Tier 4, and Tier 6
Designation of Beneficiary applications are no longer available for download on nycers.org.
To make changes to your beneficiaries or their designated guardians, log in to your MyNYCERS account and look for “Manage Beneficiaries” in the menu.
Don’t have a MyNYCERS account? Register for immediate access.
Need help? For assistance accessing your MyNYCERS account, contact NYCERS at 347-643-3000.
To request a paper application, contact NYCERS’ Call Center or visit us at the Walk-in Center.
Report of Beneficiary’s Death – Pop-Up Option Elected
Form #382
For retirees who elected a pop-up option at the time of retirement and whose designated beneficiary has passed away.
Birth Evidence Affidavit
Form #205
Submit this affidavit if you are unable to produce a birth certificate or any of the birthdate evidence documents accepted by NYCERS but can submit three alternative birth records. For a list of acceptable birthdate evidence, see NYCERS’ Birthdate Evidence Alternatives Fact Sheet #709.