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Teachers' Retirement System (TRS) Withdrawal from Membership (REF-7A)
Application to withdrawal membership and contributions from TRS pension.
Download the Form
Form must be notorized
Completing the PDF Form
- Read through all pages of the document to find specific instructions, if any
- Enter requested information into the form
- Print the form
- Get required signatures
- Scan a copy of the signed form for your records
- Send the original, completed, signed form to:
New York State Teachers Retirement System
10 Corporate Woods Drive
Albany, NY 12211-2395
Need Help Completing the Form?
Lissa Jasinowski
Assistant Director
Benefits and Work Life Balance
Phone: (716) 645-4488
Email: lmt22@buffalo.edu
Form Facts
Form Type: Downloadable, PDF Document
Requirements: Adobe Reader
Updated: 12/13
Owner: New York Teachers Retirement System