Nycers form 361 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the decedent's Pension Number and Member Number at the top of the form. Ensure accuracy as this information is crucial for processing.
3. Fill in the Date of Death, Date of Birth, and personal details such as First Name and Last Name. Use the format [MM/DD/YYYY] for dates.
4. Complete your address details including City, State, and Zip Code. This information helps establish your relationship to the decedent.
5. Select your relationship to the decedent by checking one box only from the provided options. If applicable, provide details for reimbursement requests.
6. Enter your daytime phone number for any follow-up communication regarding this affidavit.
7. Sign the form and ensure it is notarized as required on Page 2 before submission.

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