Documents

Enrollment Form

Use this form if you are enrolling in the plan for the first time.

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Beneficiary Form

Use this form to designate beneficiaries of any benefit payable upon your death.

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Contribution Rate Change

Use this form to change the amount of payroll deductions toward savings.

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Hardship Form

Use this form to request withdrawal of funds in the event of financial hardship.

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Buy Back Form

Use this form to transfer an eligible amount from your 403(b) program with Empower to your pension plan at NYCERS in order to purchase service credit under NYCERS rules.

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Rollover In Form

Use this form to place assets into your 403(b) plan with Empower.

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Roth Q&A

Use this form to better understand Roth contributions.

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Budgeting Worksheet

Use this form to establish an overview of your monthly income and expenditures.

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2023 Calendar

Your 2023 holiday and payday calendar.

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Loan Brochure

Review this brochure to learn more about loans through your plan.

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GoalMaker Brochure

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