Nycers form 361 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Member Number or Pension Number, along with the last four digits of your Social Security Number and your daytime phone number.
3. Fill in your personal details: First Name, Middle Initial, Last Name, and if applicable, 'in Care of' information. Complete your address including Apt. Number, City, State, and Zip Code.
4. Indicate your employment status by specifying the Department you are employed in or retired from and provide the date of retirement.
5. Clearly state the name change by filling out both the current name and the new name fields.
6. Sign and date the form. Ensure that it is acknowledged before a Notary Public or Commissioner of Deeds.

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