State employee applies to change personal information for TRS pension.
New York State Teachers' Retirement System
10 Corporate Woods Drive
Albany, NY 12211-2395
In order for us to change your name on our files, we require the following be included with this form:
1. The original Marriage Certificate, Certified Copy of Court Order or Divorce Decree stating legal change of name, which will be reviewed and returned.
OR
2. A copy of one of the above documents and a copy of your Driver's License, Passport, Military I.D. or Social Security card issued using your new name.
Lissa Jasinowski
Assistant Director
Benefits and Work Life Balance
Phone: (716) 645-4488
Email: lmt22@buffalo.edu
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: 03/2010
Owner: New York State Teachers' Retirment System