Transcription of PRS-2 (8/17) OFFICE SERVICES ONLY NEW YORK …
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PRS-2 (8/17) OFFICE SERVICES ONLY NEW YORK …
NY. PRS-2 (8/17) OFFICE SERVICES ONLY. new york STATE TEACHERS' retirement system . 10 Corporate Woods Drive, Albany, NY 12211-2395. STRS. P R I O R S E RVICE CLAIM. This form can also be submitted electronically by accessing your MyNYSTRS. account and going to the Service Credit tab. Please review the instructions on the reverse before completing this form. Only one claim form needs to be submitted for all types of service. EmplID # Social Security #. - - NAME (First) (Middle) (Last) FORMER NAME(S). ADDRESS (Street) (City) (State) (Zip Code). Is this address your PERMANENT address to be used by the system ? Yes No PHONE NUMBER: ( ). I wish to claim credit in the new york State Teachers' retirement system for the service listed below and any other service which I am eligible to claim. I have rendered such service prior to my current membership date and desire to have it credited when I have fulfilled the statutory requirements.
PRS-2 (8/17) NEW YORK STATE TEACHERS’ RETIREMENT SYSTEM 10 Corporate Woods Drive, Albany, NY 12211-2395 PRIOR SERVICE CLAIM • This form can also be submitted electronically by accessing your MyNYSTRS
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