Employee's Retirement System (ERS) Membership Registration (RS 5420)

State employee registers into the membership of the employee retirement system.

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Employee's Retirement System Membership Registration (RS 5420) Download pdf
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  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
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  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214

Need Help Completing the Form?

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UB HR Benefits

State Benefit Services

Phone: 716-645-7777

Email: ub-hr-benefits@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: May 2013

Owner: Office of New York State Comptroller, New York State and Local Retirement System