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The NYCERS F291 form serves as a crucial document for members seeking to update their name in the records maintained by the New York City Employees' Retirement System (NYCERS). This application is specifically designed for individuals who have undergone a legal name change and wish to ensure that their official records reflect this change. To facilitate the processing of the request, applicants must provide appropriate documentation, such as a court order, marriage certificate, or divorce papers. The form requires essential personal information, including the member's name, member number or pension number, and contact details. Additionally, the applicant must indicate their employment status and sign the form, which must then be notarized by a Notary Public or Commissioner of Deeds. This step is necessary to verify the identity of the individual making the request. For any inquiries related to the application process, members can reach out to the NYCERS Call Center for assistance.

Similar forms

  • Name Change Petition: Similar to the NYCERS F291 form, a Name Change Petition is filed in court to officially change a person’s name. Both documents require proof of the name change, such as a marriage certificate or court order.
  • Marriage Certificate: A Marriage Certificate serves as legal proof of a name change when an individual takes their spouse's surname. Like the F291, it must be officially recorded and may require notarization.
  • Divorce Decree: A Divorce Decree can include a name change provision, allowing an individual to revert to their previous name. This document is similar in that it requires official recognition to validate the name change.
  • Social Security Administration Form SS-5: This form is used to apply for a new Social Security card after a name change. Like the F291, it necessitates proof of the name change and personal identification.
  • Passport Application Form DS-11: This form is used to apply for a passport, and it allows for name changes if supporting documents are provided. Both forms require official documentation to support the name change.
  • Driver’s License Application: When applying for a new driver’s license after a name change, individuals must submit proof similar to what is required on the F291 form. This includes legal documents confirming the name change.
  • Voter Registration Form: A Voter Registration Form can be updated to reflect a name change. Like the F291, it requires documentation to verify the new name.
  • Bank Account Name Change Request: This request allows individuals to update their name on bank accounts. Similar to the F291, it often requires legal documentation to process the name change.

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NYCERS USE ONLY

F291

 

*291*

Name Change Affidavit

This application is for members who wish to change their name that NYCERS has on file. It is important to provide proof of name change, such as a court order, a copy of a marriage certificate or divorce papers, in order for your application to be processed. Should you have any questions regarding this application, please contact our Call Center at 347-643-3000.

Member Number

OR

Pension Number

 

Last 4 Digits of SSN

Daytime Phone

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

First Name

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

in Care of (if applicable)

 

 

 

 

 

Address

 

Apt. Number

 

 

 

 

 

 

City

State

 

Zip Code

 

 

 

 

 

 

To NYCERS

I, the undersigned, am employed in the Department of _________________________________ or retired from service on

[MM/DD/YYYY]

/ /

I request that my name be changed on NYCERS records from:

First Name

 

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Member

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of

 

County of

 

 

 

On this

 

day of

 

 

2 0

 

, personally appeared

before me the above named,

 

 

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she executed the same, and that the statements contained therein are true.

Signature of Notary Public or Commissioner of Deeds

Official Title

Expiration Date of Commission

Sign this form and have it notarized, THIS PAGE

R06/30/11

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Common mistakes

Filling out the NYCERS F291 form can be a straightforward process, but many individuals make critical mistakes that can delay their name change requests. One common error is failing to provide the necessary proof of name change. Applicants often overlook the requirement to include documents such as a court order, marriage certificate, or divorce papers. Without these, the application cannot be processed.

Another frequent mistake is neglecting to fill in all required fields. The form asks for essential information, including the member number or pension number, last four digits of the Social Security Number, and contact information. Omitting any of these details can lead to unnecessary delays or outright rejection of the application.

Many applicants also forget to sign the form. A signature is not just a formality; it is a declaration that the information provided is accurate. If the form is submitted without a signature, it will be returned, requiring the applicant to start over.

In addition, individuals sometimes fail to have their forms notarized. The affidavit must be acknowledged before a Notary Public or Commissioner of Deeds. Skipping this step can invalidate the application, as NYCERS requires notarization to confirm the identity of the person making the request.

Another mistake involves incorrect date formats. The form specifies that dates should be entered in the MM/DD/YYYY format. Misplacing a digit or using an incorrect format can lead to confusion and processing issues, causing further delays.

Some applicants mistakenly believe that they can submit the form without including their daytime phone number. This contact information is crucial for NYCERS to reach out if there are any questions or issues regarding the application. Not providing this information can hinder the process.

Additionally, individuals often fail to double-check their spelling. Errors in the name or other personal details can lead to complications. It is essential to ensure that all names are spelled correctly and match the documentation provided.

Another oversight occurs when applicants do not specify their employment status clearly. Whether currently employed or retired, this status must be indicated on the form. Ambiguities can lead to confusion and potential delays in processing.

Finally, some individuals submit the form without keeping a copy for their records. Retaining a copy can be invaluable for tracking the status of the application and for future reference. Not having a record may complicate matters if any issues arise.

More About Nycers F291

  1. What is the NYCERS F291 form?

    The NYCERS F291 form, also known as the Name Change Affidavit, is a document used by members of the New York City Employees' Retirement System (NYCERS) to request a change of name on their official records. This form is necessary for members who have legally changed their name and wish to update their information with NYCERS.

  2. What documents do I need to submit with the F291 form?

    When submitting the F291 form, it is crucial to provide proof of your name change. Acceptable documents include:

    • A court order
    • A marriage certificate
    • Divorce papers

    These documents help verify your identity and the legitimacy of the name change.

  3. How do I complete the F291 form?

    To complete the F291 form, follow these steps:

    • Fill in your member number or pension number.
    • Provide the last four digits of your Social Security Number.
    • Enter your daytime phone number.
    • Complete your current name and the new name you wish to use.
    • Sign the form and have it notarized by a Notary Public or Commissioner of Deeds.
  4. Where do I send the completed F291 form?

    Once you have completed and notarized the F291 form, send it to the NYCERS office. Ensure you keep a copy for your records before mailing it. The address for NYCERS can typically be found on their official website or by contacting their Call Center.

  5. How long does it take to process the name change?

    The processing time for the F291 form can vary. Generally, it may take several weeks for NYCERS to update your records after they receive your completed form and supporting documents. If you have not received confirmation after a reasonable time, consider reaching out to NYCERS for an update.

  6. Who can I contact if I have questions about the F291 form?

    If you have any questions regarding the F291 form or the name change process, you can contact the NYCERS Call Center at 347-643-3000. They can provide assistance and clarify any uncertainties you may have.

Misconceptions

Here are five common misconceptions about the NYCERS F291 form, which is used for members wishing to change their name on file:

  • Proof of Name Change is Optional: Many people believe that they can submit the F291 form without any supporting documents. In reality, proof of name change, such as a court order, marriage certificate, or divorce papers, is necessary for processing.
  • Notarization is Not Required: Some individuals think they can submit the form without having it notarized. However, the form must be acknowledged before a Notary Public or Commissioner of Deeds to be considered valid.
  • Only Members Can Submit the Form: A common misunderstanding is that only the member can submit the F291 form. In some cases, an authorized representative may submit the form on behalf of the member, provided they have the necessary documentation.
  • The Form Can Be Submitted Electronically: Many believe that the F291 form can be submitted online or via email. However, the form must be printed, signed, and submitted through traditional mail or in person.
  • Changes are Immediate: Some individuals expect that their name change will be processed immediately upon submission of the form. The processing time can vary, and it is advisable to allow sufficient time for NYCERS to update their records.

Key takeaways

  • Proof of Name Change is Essential: You must provide documentation, such as a court order or marriage certificate, to support your name change request. Without this, your application will not be processed.
  • Notarization Required: The completed form must be signed in the presence of a Notary Public or Commissioner of Deeds. This step is crucial for the validity of your application.
  • Contact Information: If you have any questions while filling out the form, reach out to the NYCERS Call Center at 347-643-3000 for assistance.
  • Accurate Information is Key: Ensure all personal details, including your member number and last four digits of your Social Security Number, are correct to avoid delays in processing.

Nycers F291: Usage Guide

To complete the NYCERS F291 form, ensure you have all necessary documents ready, including proof of your name change. Once the form is filled out and signed, it must be notarized. Follow the steps below to accurately fill out the form.

  1. Obtain the NYCERS F291 form.
  2. Fill in your Member Number or Pension Number.
  3. Provide the Last 4 Digits of your SSN.
  4. Enter your Daytime Phone Number.
  5. Complete your First Name, M.I., and Last Name.
  6. If applicable, fill in the Name in Care of section.
  7. Provide your Address, including Apt. Number, City, State, and Zip Code.
  8. Indicate your employment status by completing the Department field.
  9. Enter the date you retired or the date of your employment.
  10. Request the name change by filling in your Current Name and New Name.
  11. Sign the form in the designated area.
  12. Have the form acknowledged before a Notary Public or Commissioner of Deeds.
  13. Ensure the Notary Public or Commissioner of Deeds completes their section, including their signature and official title.

After completing these steps, submit the form to NYCERS along with any required documentation to ensure your name change is processed efficiently.