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Get Nycers Form 361

NYCERS USE ONLY F291 Name Change Affidavit This application is for members who wish to change their name that NYCERS has on file. It is important to provide proof of name change such as a court order a copy of a marriage certificate or divorce papers in order for your application to be processed. Should you have any questions regarding this application please contact our Call Center at 347-643-3000. Member Number OR Pension Number Last 4 Digits o.

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