Employee's Retirement System (ERS) Reinstate Former Tier 1 or 2 Membership (RS 5506)

Active employee applies to be reinstated to Tier 1 or 2 membership of Employees' Retirement System (ERS).

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  1. Read through all pages of the document to find specific instructions if any
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Employees’ Retirement System
110 State Street
Albany, New York 12244-0001

Complete pages 1 and 4 of this form. Pages 2 and 3 provide a comparison of benefits for members covered under regular plans.

If you have questions call the Information Office toll free at 1-866-805-0990, in Albany area at 474-7736 or by email at


Need Help Completing the Form?

Lissa Jasinowski.

Lissa Jasinowski

Retirement Administrator

State Benefit Services

Phone: (716) 645-4488

Email: lmt22@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 8/2013

Owner: Employee's Retirement System