Office of the New York State Comptroller - osc state ny 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your employer's name and registration number at the top of the form. This information is crucial for processing your election.
3. Next, enter your payroll title, last four digits of your Social Security Number, and your full name. Ensure that all details are accurate to avoid any delays.
4. Provide your address, including city, state, and zip code. This will help in correspondence regarding your election.
5. Sign the form where indicated. Your signature confirms your election under Section 553 of Article 14-B.
6. Complete the acknowledgment section by having a notary public witness your signature. They will need to fill out their details and affix their stamp.
7. Finally, ensure that the sheriff’s certification section is filled out if applicable, confirming employment as a Deputy Sheriff engaged in criminal law enforcement activities.

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