Edit, Download, and Sign the NYCERS Military Service Credit Application Form
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How do I fill this out?
To fill out this form, start by gathering your personal information and military service details. Complete each section accurately, ensuring all required fields are filled. Once finished, review your application before submission to prevent delays.

How to fill out the NYCERS Military Service Credit Application Form?
1
Gather your personal information and military service details.
2
Complete the form, ensuring all required fields are filled.
3
Attach your discharge papers (DD214) for review.
4
Sign the form in front of a Notary Public or Commissioner of Deeds.
5
Submit the completed form to NYCERS by mailing it to the specified address.
Who needs the NYCERS Military Service Credit Application Form?
1
Current NYCERS members applying for military service credit.
2
Former military personnel seeking to enhance their retirement benefits.
3
Employees returning from military service needing to document their service time.
4
Members who were previously denied military credit applications due to location.
5
Anyone interested in understanding their eligibility for military service buyback.
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You can easily edit the NYCERS Military Service Credit Application PDF on PrintFriendly by opening it in our PDF editor. Use the tools provided to modify text, add information, or correct any errors directly within the document. Once you're satisfied with the edits, download the revised form for submission.
1
Open the NYCERS Military Service Credit Application in PrintFriendly.
2
Use the editing tools to fill in your information accurately.
3
Make necessary corrections or updates to the form.
4
Review your edited PDF to ensure all changes are correct.
5
Download the finalized document to your device for submission.

What are the important dates for this form in 2024 and 2025?
Currently, there are no specific dates established for the submission of this form in 2024 and 2025. It's important to keep yourself informed of any changes to laws or deadlines concerning military service credit applications. Regularly check NYCERS resources or contact them directly for the most updated information.

What is the purpose of this form?
The NYCERS Military Service Credit Application form is designed for members who wish to purchase credit for military service previously rendered. It facilitates the process for members to enhance their retirement benefits by allowing credit for their service time. Understanding the eligibility criteria and ensuring compliance with the various laws regarding military service credit is crucial for maximizing benefits.

Tell me about this form and its components and fields line-by-line.

- 1. Member Number: Unique identifier assigned to the member.
- 2. Last 4 Digits of SSN: To verify member identity.
- 3. Home Phone Number: Contact information for the member.
- 4. Work Phone Number: Secondary contact information.
- 5. First Name: First name of the applicant.
- 6. Last Name: Last name of the applicant.
- 7. Address: Physical address of the applicant.
- 8. Branch of Service: Military branch where service was rendered.
- 9. Service Period: Dates during which military service was completed.
- 10. Signature of Member: Signature confirming the accuracy of the application.
What happens if I fail to submit this form?
Failure to submit this form will prevent you from purchasing credit for your military service, potentially limiting your retirement benefits. Without this credit, you may miss out on additional entitlement years contributing to your overall pension. It’s crucial to follow the submission guidelines carefully to ensure acceptance and processing.
- Loss of Retirement Benefits: Not submitting the form can lead to a reduction in overall retirement benefits.
- Ineligibility for Credit: A missed submission means you cannot receive credit for military time served.
- Need for Reapplication: If you miss the submission, you’ll have to reapply, causing further delays.
How do I know when to use this form?

- 1. Purchase Military Service Credit: To receive credit for military service that can enhance retirement benefits.
- 2. Address Past Denials: To reapply if denied before due to service location.
- 3. Post Military Service Documentation: To officially document your military service time.
Frequently Asked Questions
Who can use the NYCERS Military Service Credit Application?
Any current member of NYCERS who is looking to purchase military service credit can use this application.
What do I need to submit with the application?
You must submit a completed form along with your discharge papers (DD214) for review.
Is there a deadline for submitting this form?
There is no specific deadline for purchasing military service under USERRA.
Can I edit the form online before submitting?
Yes, you can edit the form using PrintFriendly's PDF editor before downloading it.
How do I sign the application?
You can apply your signature directly on the PDF using PrintFriendly's signature feature.
What if I have questions about filling out the form?
If you have questions, you can contact NYCERS' Call Center at 347-643-3000 for assistance.
Can I get credit for military service rendered in the reserves?
This application specifically addresses active duty military service.
What happens if I receive a denial?
You can refile the application if you were previously denied based on location.
Where do I send my completed application?
Mail your completed application to NYCERS at 30-30 47th Avenue, 10th Fl, Long Island City, NY 11101.
Is there a cost associated with purchasing military service?
Yes, the cost is based on your years of military service and your salary during the 12 months prior to application.
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