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Click ‘Get Form’ to open the New York State Retirement and Social Security Law 211 application in the editor.
Begin by entering the retiree’s last name, first name, and middle initial in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the employer’s mailing address, including street, city, state, and zip code. This section helps establish where correspondence will be sent.
Complete the retiree’s mailing address similarly. This ensures that all communications reach the correct individual.
Specify the title of the position to be filled by the retiree and include any relevant job codes as required by your agency.
In Section A, indicate the appointment type (Permanent, Temporary, Provisional) and provide details on anticipated annual earnings from and to amounts.
Answer questions regarding previous employment with former employers and ensure compliance with RSSL §211 limitations.
Complete all sections thoroughly, especially those requiring detailed explanations about recruitment efforts and qualifications for the position.
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