Teachers' Retirement System (TRS) Designation of Beneficiary (NET-11.4)

Request change to Teacher Retirement System (TRS) beneficiary information.

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

New York StateTeachers' Retirement System
10 Corporate Woods Drive
Albany NY 12211-2395

Form must be notarized

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: 3/2006

Owner: NewYork Teachers' Retirement System