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The NYCERS F321 form is a crucial document for members of the New York City Employees' Retirement System (NYCERS) who wish to transfer their accumulated salary deductions to another retirement system within New York State. This form serves as an application, allowing members to request the transfer of their accumulated salary deductions and any accrued interest to their new retirement system. When completing the form, members must provide essential personal information, including their member number and the last four digits of their Social Security number. The form also requires details about the member's previous city service, including the department and the date their service ended. Additionally, it includes a section for those who participated in a special program under Chapter 96 of the Laws of 1995, allowing them to elect a refund of additional member contributions. To finalize the application, members must sign the form and have it notarized, ensuring that the information provided is verified. This process not only facilitates the transfer of funds but also releases NYCERS from any liability associated with the transfer, providing peace of mind for members as they transition to a new retirement system.

Similar forms

  • Form W-4: Similar to the NYCERS F321 form, the W-4 is used by employees to indicate their tax withholding preferences. Both forms require personal information and signatures, and they facilitate the transfer of funds—taxes in the case of W-4 and retirement contributions for F321.
  • Direct Deposit Authorization Form: This document allows individuals to authorize the direct deposit of their paychecks into their bank accounts. Like the F321, it requires personal information and serves to transfer funds, ensuring that the member’s financial resources are efficiently managed.
  • Retirement Application Form: This form is submitted when an employee wishes to retire and access their retirement benefits. Similar to the F321, it involves the transfer of accumulated funds and requires notarization, ensuring that the member's requests are formally recognized and processed.
  • Withdrawal Application Form: When a member decides to withdraw from a retirement system, this form is used. It parallels the F321 in that it involves the transfer of funds and requires the member to provide personal details and sign off on the transaction.
  • Change of Beneficiary Form: This document allows members to update their designated beneficiaries for retirement benefits. Both forms require careful attention to detail and signatures, as they involve the management of funds and ensure that the member’s wishes are honored.
  • Loan Application Form: Members may use this form to apply for a loan against their retirement savings. Similar to the F321, it involves the transfer of funds and requires personal information, as well as a signature, to authorize the transaction.

Form Preview

NYCERS USE ONLY

F321

 

*321*

Application for Transfer of Member’s Accumulated Salary

Deductions to Another Retirement System Within New York State

Member Number Last 4 Digits of SSN

I, the undersigned, do hereby make application to have the accumulated salary deductions, and accrued interest on the same, standing to my credit in the New York City Employees' Retirement System (NYCERS) transferred to my membership

in the

Retirement System.

In consideration of the transfer of such amount, and upon the transmittal of such funds to the retirement system to which I am transferring, I do hereby release and discharge from any and all liability the New York City Employees' Retirement System in connection therewith.

My City service in the position of

ceased on the

 

day of

 

 

 

with the Department of

, 20

.

, 20

with the Department of

.I have accepted a position as a(n)

on the

day of

I hereby authorize NYCERS to draw a check made payable to the retirement system of which I am now a member, to be credited to my account in that retirement system under Membership Number

.

For Tier 2 and Tier 4 members who participated in a special program enacted by Chapter 96 of the laws of 1995 only.

If eligible, I hereby elect to receive a refund of my share of the ADDITIONAL MEMBER CONTRIBUTIONS required to have been contributed by me due to my participation in one of the programs enacted by Chapter 96 of the Laws of 1995 and which are now to my credit in NYCERS in my Retirement Reserve Fund account.

Signature of Member

First Name

M.I.

Last Name

 

 

 

In Care of (if applicable)

Address

 

 

Apt. Number

 

 

 

 

 

City

State

 

Zip Code

 

 

 

 

 

Home Phone Number

()

Work Phone Number

()

Sign this form and have it notarized, Page 2

R07/26/11

Page 1 of 2

NYCERS USE ONLY

F321

 

Member Number

Last 4 Digits of SSN

 

 

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.

If you have an official seal, affix it

Signature of Notary Public or

 

 

Commissioner of Deeds

 

 

 

 

 

 

 

Official Title

 

 

 

 

 

 

Expiration Date of Commission

 

 

 

 

 

 

 

Sign this form and have it notarized, THIS PAGE

R07/26/11

Page 2 of 2

Common mistakes

Filling out the NYCERS F321 form can be a straightforward process, but many individuals encounter pitfalls that can delay their application. One common mistake is failing to provide accurate personal information. Members should ensure that their name, address, and membership number are correct. An error in these details can lead to complications in the transfer process.

Another frequent error is neglecting to sign the form. A signature is essential, as it verifies that the member agrees to the terms of the transfer. Without a signature, the application cannot be processed, leading to unnecessary delays.

Many applicants also forget to include the notarization of their signature. The NYCERS F321 form requires notarization to confirm the identity of the signer. Skipping this step can result in the form being rejected, requiring the member to start over.

Inaccurate dates can also cause issues. Members often mistakenly enter the wrong dates for their service or the date they accepted a new position. These dates are crucial for determining eligibility and processing the transfer, so it is vital to double-check them for accuracy.

Another common oversight is not providing the last four digits of the Social Security Number. This information helps NYCERS verify the member's identity. Omitting it can lead to confusion and delays in processing the application.

Some individuals may also overlook the section regarding additional member contributions. If applicable, members should indicate their eligibility for a refund related to special programs. Failing to address this can result in missed benefits.

In addition, members sometimes forget to include their contact information. Providing both home and work phone numbers allows NYCERS to reach out if there are any questions or issues with the application. This simple step can facilitate smoother communication.

Lastly, members should be cautious about submitting the form without reviewing it thoroughly. Taking the time to read through the application can help catch any errors or omissions before submission. A careful review can save time and prevent the frustration of having to resubmit the form.

More About Nycers F321

  1. What is the NYCERS F321 form?

    The NYCERS F321 form is an application for transferring a member's accumulated salary deductions and accrued interest from the New York City Employees' Retirement System (NYCERS) to another retirement system within New York State. This form is used when a member changes employment and wishes to move their retirement funds to a new system.

  2. Who should fill out the F321 form?

    Members of NYCERS who are transferring to another retirement system in New York State should complete this form. This typically applies to individuals who have left their position with the City and accepted a new position that is part of a different retirement system.

  3. What information is required on the F321 form?

    The form requires several pieces of information, including:

    • Member number
    • Last four digits of Social Security Number
    • Details of the previous and current employment
    • Signature of the member
    • Notarization of the form
  4. Is notarization required for the F321 form?

    Yes, the F321 form must be notarized. This means that a Notary Public or Commissioner of Deeds must acknowledge the signature of the member to confirm its authenticity.

  5. What happens after I submit the F321 form?

    Once the form is submitted, NYCERS will process the transfer of your accumulated salary deductions and accrued interest to the new retirement system. You will also release NYCERS from any liability related to this transfer.

  6. Can I receive a refund of additional member contributions?

    If you are a Tier 2 or Tier 4 member who participated in a special program enacted by Chapter 96 of the laws of 1995, you may be eligible for a refund of your additional member contributions. This option must be elected on the form if applicable.

  7. What should I do if I have questions about the F321 form?

    If you have questions regarding the F321 form or the transfer process, you should contact NYCERS directly. They can provide specific guidance and assistance tailored to your situation.

  8. Where can I obtain the F321 form?

    The F321 form can typically be obtained from the NYCERS website or by visiting their office. It is important to ensure that you are using the most current version of the form.

  9. What is the deadline for submitting the F321 form?

    There is no specific deadline mentioned for the submission of the F321 form. However, it is advisable to submit the form as soon as possible after accepting a new position to ensure a smooth transfer of funds.

  10. Can I track the status of my transfer after submitting the F321 form?

    Yes, after submitting the F321 form, you can inquire about the status of your transfer by contacting NYCERS. They can provide updates on the processing of your application.

Misconceptions

Misconceptions about the NYCERS F321 form can lead to confusion regarding retirement fund transfers. Below is a list of common misconceptions and clarifications for each.

  • The F321 form is only for certain members. The F321 form is available to all NYCERS members who wish to transfer their accumulated salary deductions to another retirement system within New York State.
  • Notarization is optional. In fact, the form must be signed in the presence of a Notary Public or Commissioner of Deeds. This step is essential for the form to be valid.
  • Members can transfer funds at any time. There may be specific timelines and eligibility requirements that must be met for the transfer to occur. Members should verify their eligibility before submitting the form.
  • The transfer process is automatic. Members must actively submit the F321 form to initiate the transfer. It does not occur automatically upon changing retirement systems.
  • Only Tier 2 and Tier 4 members can use this form. While the form includes specific provisions for Tier 2 and Tier 4 members, all members can utilize it for transferring accumulated deductions.
  • Members will lose their accrued interest during the transfer. The accrued interest on the accumulated salary deductions will be transferred along with the principal amount, provided the transfer is executed properly.
  • Submitting the form guarantees a refund of additional member contributions. Eligibility for a refund of additional contributions is contingent on meeting specific criteria related to Chapter 96 of the Laws of 1995.
  • Filling out the form is straightforward and does not require assistance. While the form is designed to be user-friendly, members may still benefit from guidance to ensure all sections are completed correctly.
  • Once submitted, the transfer cannot be reversed. In some cases, it may be possible to reverse a transfer or appeal a decision, but this typically requires additional steps and is not guaranteed.

Key takeaways

When filling out the NYCERS F321 form, it is essential to understand the following key points:

  • Accurate Information is Crucial: Ensure that all personal details, including your member number and last four digits of your Social Security Number, are entered correctly. Any mistakes can delay the processing of your application.
  • Notarization Requirement: The form must be signed in the presence of a Notary Public or Commissioner of Deeds. This step is vital for the validity of your application, so do not overlook it.
  • Transfer of Funds: By submitting this form, you are authorizing NYCERS to transfer your accumulated salary deductions to your new retirement system. This action releases NYCERS from any liability regarding these funds.
  • Eligibility for Refund: If you are a Tier 2 or Tier 4 member who participated in a specific program under Chapter 96 of the Laws of 1995, check your eligibility for a refund of additional member contributions. Make sure to indicate this on the form if applicable.

Completing the NYCERS F321 form accurately and promptly can significantly impact your retirement planning. Ensure you follow all instructions carefully to facilitate a smooth transfer process.

Nycers F321: Usage Guide

Completing the NYCERS F321 form requires careful attention to detail to ensure that all necessary information is accurately provided. After filling out the form, it must be signed and notarized to finalize the application process.

  1. Begin by locating the section labeled "NYCERS USE ONLY" at the top of the form.
  2. In the first blank, write your Member Number.
  3. Next, enter the Last 4 Digits of your Social Security Number.
  4. Affirm your intention by writing your name in the designated area, starting with "I, the undersigned, do hereby make application.."
  5. Indicate the date your city service in the position of ceased and fill in the Department where you worked.
  6. Provide the date you accepted your new position as a(n) on the day of.
  7. Authorize NYCERS to draw a check by filling in your Membership Number for the new retirement system.
  8. If applicable, indicate your election to receive a refund for the ADDITIONAL MEMBER CONTRIBUTIONS required by Chapter 96 of the Laws of 1995.
  9. Sign the form in the designated area labeled "Signature of Member".
  10. Print your First Name, M.I., and Last Name below your signature.
  11. If applicable, fill in the In Care of section, along with your Address, Apt. Number, City, State, and Zip Code.
  12. Provide your Home Phone Number and Work Phone Number in the specified format.
  13. Ensure you sign the form again on the second page where it states "Signature of Member".
  14. Fill in the date next to your signature.
  15. Find the section for notarization. Fill in the State and County where the notarization will occur.
  16. Write the date of the notarization and your name in the space provided.
  17. Have the form notarized by a Notary Public or Commissioner of Deeds.
  18. If the notary has an official seal, ensure it is affixed to the form.
  19. Finally, confirm that the official title and expiration date of the commission are included in the notarization section.