Employee's Retirement System (ERS) Request for Previous Service Credit (RS 5042)

State employee requests to apply prior state service for ERS pension service credit.

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Employees' Retirement System
110 State Street
Albany, New York 12244-0001

Need Help Completing the Form?

Lissa Jasinowski.

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: June 2011

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