Teachers' Retirement System of the City of New York

All Forms

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In-Service
NameLinkPDF
QPP Contributions Change Application (Tiers I/II Only) (code IP1) 
Erroneous QPP Contribution Refund Application (code IP12) 
QPP Investment Election Change Form (Tiers I/II Only) (code MA7) 
Zero Rate Application (Tiers I/II Only) (code RW73) 
Chapter 126 Inquiry Form (code SD95) 
TDA Contribution Rate Change Form (code TD4) 
TDA Investment Election Change Form (code TD45)PDF
Erroneous TDA Contribution Refund Application (code TD60) 
TDA Allocation Change Form (code TD136)
TRS Enrollment Application (code EN10) 
Membership in Other Retirement Systems (code EN10ret)online
TDA Enrollment Form (code TD1) 
Affidavit of Power of Attorney (code BK70) 
TRS Special Durable Power of Attorney (code BK75) 
Model Domestic Relations Order 
Alternate Payee's TDA Direct Rollover Form (code LE25) 
Erroneous QPP Loan Payment Refund Application (code IP4) 
Erroneous TDA Loan Payment Refund Application (code IP11) 
QPP Loan Application (code LO6)online
QPP Loan Repayment Request Form (code LO11q)
TDA Loan Repayment Request Form (code LO11t)
TDA Loan Application (code LO15)online
QPP Loan Direct Rollover Election Form (code LO57) 
TDA Loan Direct Rollover Election Form (code LO58) 
Transferred Contributor Election Form (code EN17) 
Affidavit for Non-TRS Transferred Contributors (code EN40) 
TRS Membership Transfer Form (code RW39) 
Multiple Employment Membership Status Employment History Data Form (code RW67) 
Payment Plan Change Request Form (for Tiers III, IV, and VI Members) (code SB29) 
Request to Terminate Purchase of Optional Service Credit (for Tiers III, IV, and VI Members) (code SB32) 
Cost Letter Request Form (For Tiers III, IV, and VI Members) (code SB64) 
Total Service Letter Request Form (For Tiers III, IV, and VI Members Only) (code SB66) 
Record of Prior Service (code SB146) — Currently unavailable
 
Membership/Tier Reinstatement Request Form (code SD42) 
Military Service Credit Request Form (code SD68) 
Cost Letter Request Form (For Tiers I/II Members) (code SD152) 
Total Service Letter Request Form (Tiers I/II Only) (code SD154) 
TDA Deferral Status Election Form (For Vested Members) (code TD31) 
Retiring Member's Additional QPP Beneficiary Form (code EN22) 
Retiring Member's Additional TDA Beneficiary Form (code EN23) 
Retirement Plan Election Form Under Chapter 628 (code EN44) 
QPP Loan Direct Rollover Election Form (code LO57) 
TDA Loan Direct Rollover Election Form (code LO58) 
Tier I Service Retirement Application (code RE16) 
Tier II Service Retirement Application (code RE17) 
Tier III Service Retirement Application (code RE18) 
Tier IV Service Retirement Application (code RE19)online
Tier VI Service Retirement Application (code RE20)online
TDA Annuitization Option Change Form (code RW87) 
Application for Withdrawal of Additional Member Contributions at Retirement (code RW116) 
TDA Annuitization Election Form (code TD6) 
TDA Deferral Status Election Form (For Vested Members) (code TD31) 
Tier IV Ordinary Disability Retirement Application (code OD4) 
Tier VI Ordinary Disability Retirement Application (code OD6) 
Tier IV Accident Disability Retirement Application (code AD4) 
Tier VI Accident Disability Retirement Application (code AD6) 
Lump-Sum Disability Benefit Application (code DI17) 
Account Information Access Form (code DM11) 
Member's Change of Address Form (code DM13)online
Filing Intent Form (code DM30) 
1099-R/1099-INT Inquiry Form (code GA5)online
QAS Inquiry Form (code MA3) 
QAS Reprint Request Form (code MA4) 
Cancellation Request Form (code MI5) 
ABS Inquiry Form for Tiers I/II Members (code SD12-I/II)online
ABS Inquiry Form for Tiers III, IV, and VI Members (code SD12-III/IV/VI)online
Affidavit for Forged Check (code BK1) 
Affidavit for Check Reissue Request (and Authorization to Stop Payment) (code BK2)
QPP Direct Rollover Election Form (code RW29) 
Application for Withdrawal of QPP Accumulations (code RW41) 
Excess Withdrawal Application (Tiers I/II Only) (code RW74) 
Application for Withdrawal of Additional Member Contributions at Retirement (code RW116) 
TDA Direct Transfer Application (code TD15) — Suspended 
 
TDA Direct Rollover Election Form (code TD22) 
TDA Withdrawal Application (code TD32)online
TDA Hardship Withdrawal Applicationonline

Retired Members
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Confirmation of Beneficiary's Death (ONLY for retirees who selected a "Pop-up" payment option)online
 
Option IV-b Election Termination Form (code DB13) 
Change Form for Post-Retirement Payment Option under Section 13-565(c) (code RP113) 
Application for Restoration from Service Retirement (code GA1) 
Certification of Employment Under Section 212 (code RP76)online 
Report of Income Earned Before Retirement (code RP86) 
Overpayment of Post-Retirement Earnings Form (code RP92) 
Retiree's QPP Investment Election Change Form (Tiers I/II Only) (code RP8) 
TDA Annuitant's Investment Election Change Form (code RP9) 
TDA Investment Election Change Form (code TD45)
Affidavit of Power of Attorney (code BK70) 
TRS Special Durable Power of Attorney (code BK75) 
Model Domestic Relations Order 
Alternate Payee's TDA Direct Rollover Form (code LE25) 
TDA Loan Repayment Request Form (code LO11t)
PDF
TDA Loan Application (code LO15)PDF
Request to Change TDA Loan Repayment Method (code LO105) 
Affidavit for Forged Check (code BK1) 
Affidavit for Check Reissue Request (and Authorization to Stop Payment) (code BK2)online
EFT Authorization Form (code BK58) 
Retirement Allowance Suspension/Resumption Form (code RP88) 
Overpayment of Post-Retirement Earnings Form (code RP92) 
QPP Retirement Payment Option Change Form (Tiers I/II Only) (code RW86) 
TDA Annuitization Election Form (code TD6) 
Account Information Access Form (code DM11) 
Member's Change of Address Form (code DM13)PDF
Filing Intent Form (code DM30) 
1099-R/1099-INT Inquiry Form (code GA5)online

Cancellation Request Form (code MI5) 
Benefits Letter Inquiry Form (code RC1) 
Retiree's Change of Name Form (code RP1)
TDA Direct Transfer Application (code TD15) - Suspended 
 
TDA Direct Rollover Election Form (code TD22) 
TDA Withdrawal Application (code TD32)
Beneficiaries
NameLinkPDF
Application for COVID-19 Accidental Death Benefit (code DB301) 
COVID-19 Medical Certification A: Date of Onset (To Be Completed by a Medical Professional) (code DB303) 
COVID-19 Medical Certification B: Cause of Death (To Be Completed by a Medical Professional) (code DB304) 
Claimant's Affidavit for Benefit Under Section 1310 (code DB14) 
Release of Claim Form Under Section 1310 (code DB28) 
Beneficiary's Change of Address Form (code DM14) 
Cancellation Request Form (code MI5) 
Beneficiary's Consent Form for Changes under Section 13-565(c) (code RP114) 
TDA Investment Election Change Form (for Beneficiaries) (code TD81) 
Affidavit of Durable Power of Attorney (code BK70) 
TRS Special Durable Power of Attorney (code BK75) 
Model Domestic Relations Order 
Alternate Payee's TDA Direct Rollover Form (code LE25) 
Affidavit for Check Reissue Request (and Authorization to Stop Payment) (code BK2)  
EFT Authorization Form (code BK58) 
QPP Direct Rollover Application for Lump-Sum QPP Death Benefit to an Inherited IRA (code DB32b) 
TDA Direct Rollover Application for Lump-Sum TDA Death Benefit to an Inherited IRA (code DB34c) 
1099-R/1099-INT Inquiry Form (code GA5) 
TDA Beneficiary Transfer Application (code TD22b) 
TDA Withdrawal Application for Beneficiaries (code TD32b)