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For members of the New York City Employees' Retirement System (NYCERS) who find themselves in need of updating their name within the organization's records, the F291 Name Change Affiditet offers a formal procedure to ensure that personal details are accurately reflected. This critical process, designed to accommodate changes due to various personal circumstances such as marriage, divorce, or other legal reasons, requires the submission of concrete proof to validate the name change. Essential documents include a court order, marriage certificate, or divorce papers, all aimed at facilitating a smooth transition within the system. The form necessitates not only the current details of the member, including their member or pension number and contact information but also a clear declaration of the new name they wish to adopt. To guide members through this process and address any potential queries, NYCERS extends the support of their Call Center, readily accessible for assistance. Completing this affidavit involves a legal acknowledgment before a Notary Public or Commissioner of Deeds, underscoring the solemnity of the procedure and the commitment of NYCERS to maintaining updated and accurate member records. The F291 form is thus a crucial document for members in transition, acting as a bridge between their past and future records with NYCERS.

Nycers F291 Sample

If you have an official seal, affix it

NYCERS USE ONLY

F291

 

*291*

Name Change Affidavit

This application is for members who wish to change their name that NYCERS has on file. It is important to provide proof of name change, such as a court order, a copy of a marriage certificate or divorce papers, in order for your application to be processed. Should you have any questions regarding this application, please contact our Call Center at 347-643-3000.

Member Number

OR

Pension Number

 

Last 4 Digits of SSN

Daytime Phone

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

First Name

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

in Care of (if applicable)

 

 

 

 

 

Address

 

Apt. Number

 

 

 

 

 

 

City

State

 

Zip Code

 

 

 

 

 

 

To NYCERS

I, the undersigned, am employed in the Department of _________________________________ or retired from service on

[MM/DD/YYYY]

/ /

I request that my name be changed on NYCERS records from:

First Name

 

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

M.I.

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Member

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This form must be acknowledged before a Notary Public or Commissioner of Deeds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of

 

County of

 

 

 

On this

 

day of

 

 

2 0

 

, personally appeared

before me the above named,

 

 

 

 

 

 

, to me known, and known to

me to be the individual described in and who executed the foregoing instrument, and he or she acknowledged to me that he or she executed the same, and that the statements contained therein are true.

Signature of Notary Public or Commissioner of Deeds

Official Title

Expiration Date of Commission

Sign this form and have it notarized, THIS PAGE

R06/30/11

Page 1 of 1

File Overview

# Fact
1 The F291 form is used by members who wish to officially change their name in the NYCERS system.
2 Proof of name change such as a court order, marriage certificate, or divorce papers must be submitted along with the application.
3 Applicants are required to contact the NYCERS Call Center for queries related to the application process at 347-643-3000.
4 The form requires detailed personal information including the member number or pension number, and the last 4 digits of the SSN.
5 Applicants must also provide their current name on file with NYCERS and the new name they wish to use.
6 The form must be signed by the member and acknowledged before a Notary Public or Commissioner of Deeds to be processed.
7 The notary public or commissioner of deeds must confirm the identity of the individual and witness their signature.
8 The form's version noted is R06/30/11, indicating its release or revision date as June 30, 2011.
9 Governing law(s) for the form are not explicitly mentioned, but it operates under the public sector pension regulations managed by NYCERS in New York State.

Nycers F291: Usage Guidelines

Filling out the NYCERS F291 form is a critical step for members who need to update their name in the records. It's vital to approach this task with all required documents at hand, ensuring a smooth and accurate submission process. Providing proof of name change, such as a court order, marriage certificate, or divorce papers, is compulsory to process your application effectively. Should questions arise during the process, reaching out to the designated call center can clarify and guide you through. Follow these structured steps to complete your form correctly:

  1. Locate the member number or pension number and write it in the designated space.
  2. Enter the last 4 digits of your Social Security Number (SSN) in the assigned area.
  3. Provide a daytime phone number where you can be reached, including the area code.
  4. Fill in your first name, middle initial (M.I.), and last name as currently recorded by NYCERS.
  5. If applicable, include an in care of (c/o) name.
  6. Record your current address, including apartment number, city, state, and zip code.
  7. Specify the department you are employed in or retired from, and fill in the date of retirement if applicable.
  8. Under the section "I request that my name be changed on NYCERS records from:", write your old name.
  9. Following that, write your new name, as it should appear in NYCERS records.
  10. Sign your name and date the form to affirm your application.
  11. Ensure the form is notarized. This involves signing the form in front of a Notary Public or Commissioner of Deeds, who will then complete their section, sign, and seal the form.

Once the form is properly filled and notarized, it remains the responsibility of the member to submit it to NYCERS alongside the required proof of name change. Adhering to the instructions carefully will facilitate a swift update to your records, reflecting your new name accurately. It's a significant step toward maintaining updated, accurate records with NYCERS, ensuring your benefits and communications are appropriately managed.

FAQ

  1. What is the NYCERS F291 form used for?

    The NYCERS F291 form is an affidavit for members who wish to change their recorded name with the New York City Employees' Retirement System (NYCERS). It's necessary when an individual has legally changed their name due to marriage, divorce, or other reasons and wants to update their NYCERS records to reflect this change.

  2. What proof is required to submit along with the F291 form?

    When submitting the F291 form, members must provide legal proof of their name change. Acceptable documents include a court order, marriage certificate, or divorce papers. These documents are essential for the processing of the name change application.

  3. How can I contact NYCERS if I have questions about the form?

    If you have any questions regarding the F291 form or the process of changing your name on file with NYCERS, you can contact the NYCERS Call Center by dialing 347-643-3000. The Call Center representatives are available to assist with inquiries and provide additional information as needed.

  4. Is notarization required for the F291 form?

    Yes, after completing the F291 form, it must be signed in the presence of a Notary Public or Commissioner of Deeds. Notarization is a crucial step, as it serves as a legal attestation that the member has indeed signed the document and that the information provided is accurate and true.

  5. Can I submit the F291 form if I am a retired member of NYCERS?

    Both current employees and retired members of NYCERS are eligible to submit the F291 form for a name change. The form specifically asks whether you are currently employed in a department or retired, ensuring that all members, irrespective of their employment status, can update their records as necessary.

  6. What information is needed to complete the F291 form?

    To complete the form, you will need to provide your member or pension number, the last four digits of your Social Security Number, a daytime phone number, and your current recorded name and address. Additionally, you will need to indicate your new name and sign the form before getting it notarized.

  7. Where should I send the completed F291 form?

    After completing and notarizing the F291 form, and ensuring you have attached the required proof of name change, you should send the documents to NYCERS. However, the form does not specify an address, so it is recommended to contact the NYCERS Call Center at 347-643-3000 for guidance on where to send or submit your form and documents.

  8. How long does it take for a name change to be processed by NYCERS?

    The processing time for a name change request can vary. NYCERS does not provide a specific timeframe on the form. Members should expect that it may take several weeks for the change to be reflected in their records. For the most accurate and up-to-date information, reaching out to the NYCERS Call Center is advised.

  9. Is there a fee associated with submitting the F291 form?

    The F291 form does not mention any fee associated with the submission for a name change. However, members should be prepared for possible notarization fees, as these can vary depending on the notary service used. For any inquiries about possible costs directly related to the processing of this form by NYCERS, contacting the Call Center would provide clarity.

Common mistakes

Filling out the NYCERS F291 form, which is necessary for members wishing to update their name in the New York City Employees' Retirement System (NYCERS) records, might seem straightforward. However, mistakes can and do occur, often delaying the process. Understanding the common missteps can help ensure your name change request is processed smoothly.

The first mistake is not providing adequate proof of the name change. This document requires official proof, such as a marriage certificate, divorce decree, or court order. Failing to attach these essential documents can result in immediate rejection of the request.

  1. Another common mistake is overlooking the requirement for the form to be notarized. The signature of the member requesting the name change needs to be acknowledged by a Notary Public or Commissioner of Deeds. Without this official seal of approval, the form cannot be processed.
  2. Incorrectly filling out the member or pension number and the last four digits of the Social Security Number (SSN) is another error. This critical information helps NYCERS identify the member accurately. Inputting incorrect numbers can lead to confusion and processing delays.
  3. Some members forget to provide a daytime phone number. While this may seem minor, it's crucial for communication. If any issues arise or additional information is needed, NYCERS uses this number to reach out to the member directly.
  4. Leaving the department information blank or inaccurately filled is a mistake that can complicate the processing of the form. Whether currently employed or retired, the specific department connected with the individual's employment history must be correctly mentioned.
  5. Last, but certainly not least, is the mistake of not signing the form. A signature is necessary to verify the request and confirm the member's intention to change their name. An unsigned form will not be accepted under any circumstances.

In summary, when filling out the NYCERS F291 form, it's paramount to:

  • Attach the correct proof of name change.
  • Ensure the form is notarized.
  • Accurately fill in personal and employment details.
  • Provide a current daytime phone number.
  • Sign the document to signify your acknowledgment and request.

By avoiding these common pitfalls, members can expect a smoother, faster process in updating their NYCERS records. Always remember to double-check your information and ensure all requirements are met before submission. This not only streamlines the process but ensures your records are updated without unnecessary delays.

Documents used along the form

When a member seeks to change their name in the New York City Employees' Retirement System's (NYCERS) records using the F291 Name Change Affidavit form, several supporting documents and forms are typically required. These documents confirm the authenticity of the name change and ensure the member's identity and account information are accurately updated. Understanding these accompanying documents can streamline the process, ensuring all necessary paperwork is prepared and submitted together.

  • Marriage Certificate: This is a legal document proving the union between two individuals. It's often used as proof for changing one's last name to their spouse's surname.
  • Divorce Decree: This legal document officially ends a marriage and often contains a clause that restores a former name. It's crucial for members who are reverting to their maiden name or a previous name.
  • Court Order for Name Change: This is an official document from a court that legally changes a person's name. It's necessary when the name change isn't due to marriage or divorce.
  • Birth Certificate: Sometimes required as a foundational identity document. It verifies your birth name and is often requested in conjunction with proof of name change.
  • Passport: An up-to-date passport reflecting the new name serves as a strong form of identification and can be requested for verification purposes.
  • Driver's License or State ID: A current driver's license or state-issued identification card showing the new name confirms identity and residency.
  • Social Security Card: A social security card with the updated name is crucial as it verifies the legal name change with the federal government.
  • Employment Identification Badges: For NYCERS members actively employed, a new work ID with the updated name may be required for employment records synchronization.
  • Beneficiary Designation Forms: Following a name change, it's essential to update any forms that list beneficiaries to ensure the correct names are on file.
  • Proof of Notification Letter: Some processes might require a letter or form acknowledged by a notary that verifies the member has notified relevant parties (e.g., employers or other pensions) of their name change.

Gathering these documents beforehand can simplify the name change process with NYCERS. Members are encouraged to carefully review the requirements specific to their situation and prepare accordingly. For further assistance or clarification, members can contact the NYCERS Call Center. The goal is not only to update the records accurately but also to maintain the security and integrity of each member's account.

Similar forms

The F291 form used by NYCERS for name change requests is similar to the Social Security Administration (SSA) Name Change Form, mainly because both forms are instrumental in updating an individual's name within governmental records. The SSA form, specifically required after a name change due to marriage, divorce, or any other reason, requires submission of proof just like the F291 form. Ensuring that personal records reflect the correct name is crucial for both legal identification purposes and for the correct allocation of benefits.

Another similar document is the U.S. Passport Name Change Application. This form is required when a person needs to update their passport due to a change of name. Similarities arise in the requirement of submitting legal documents as proof of name change, such as marriage licenses or court orders. Both the NYCERS form and the passport application emphasize the importance of having matching names across all official documents and IDs for identity verification purposes.

The Department of Motor Vehicles (DMV) Name Change Form, which is required to update the name on a driver’s license or state ID, also shares similarities with the NYCERS form. The DMV form, like the F291, necessitates submitting proof of name change and serves a similar purpose in updating governmental records to reflect an individual's current legal name, thus preventing discrepancies in identification across state and federal agencies.

The Voter Registration Name Change Form is another document resembling the NYCERS F291 form. Like the NYCERS form, it's essential for updating one’s name to ensure that voter registration records are accurate. Both forms require verification of the individual's identity and current information, underlining the importance of consistency in governmental records for civic duties and rights.

Bank Account Name Change Request Forms used by various banks also share similarities with the NYCERS F291 form. Customers need to provide legal documentation for a name change to update their bank records, just as they do with NYCERS. These forms underline the importance of having all financial and pension-related documents reflect the same legal name to avoid issues with transactions or benefit disbursements.

Marriage Certificate Request Forms are similar in the context that obtaining a marriage certificate is often a precursor to submitting a form like the NYCERS F291. While not a name change request by itself, the marriage certificate acts as the foundational proof required for forms like F291, showcasing the legal name change through marriage.

The Legal Name Change Petition, typically filed in court, closely relates to the NYCERS F291 form since it is the action that often necessitates the subsequent need to update records with entities like NYCERS. This document is the formal request to legally change an individual's name, which, once granted, serves as the official proof needed for the NYCERS name change request.

Employment Records Update Form found in many HR departments is paralleled with the NYCERS F291 form in its function to update an employee's name in the employer's records following a legal name change. While aimed at updating employment records specifically, it requires similar proof of name change and ensures consistency across professional and legal documentation.

The Health Insurance Plan Name Change Form, required by private insurance companies or government health plans, mirrors the NYCERS form in its purpose to update an individual's name due to changes from marital status or court orders. Both forms play a crucial role in ensuring that health benefits are correctly administered and that all health-related documents reflect the updated name.

Lastly, the Change of Beneficiary Form often used in life insurance, pension plans, or other benefit programs, while not directly a name change form, shares the commonality of updating personal records to reflect current circumstances. In cases where a name change impacts the identification of a beneficiary, such as after marriage or divorce, forms like NYCERS F291 ensure that all related records are consistently accurate.

Dos and Don'ts

When filling out the NYCERS F291 form, which is designed for members wishing to update their recorded name due to reasons such as marriage, divorce, or a court-ordered name change, certain steps should be diligently followed to ensure the request is processed smoothly. Below are lists distinguishing what you should and shouldn't do during this process:

Do:

  • Gather legal documents proving your name change, like a marriage certificate, divorce decree, or court order, prior to filling out the form.
  • Ensure all sections of the form are filled out completely; missing information can lead to delays.
  • Write legibly to prevent any misunderstandings or misinterpretation of your information.
  • Double-check the member or pension number and the last four digits of your Social Security Number for accuracy.
  • Contact the NYCERS Call Center at 347-643-3000 with any questions you might have before submitting the form.
  • Sign the form in the presence of a Notary Public or Commissioner of Deeds to validate the affidavit.

Don't:

  • Leave any section of the form blank. If a section does not apply to you, write “N/A” to indicate this.
  • Use nicknames or abbreviations. Always provide your full legal name before and after the change.
  • Attempt to notarize your own signature without a qualified notary or commissioner. Self-notarizing is invalid and can result in rejection of your form.
  • Forget to attach supporting documentation for your name change. Your application cannot be processed without it.
  • Send in the form without reviewing it for mistakes. Errors can significantly delay the name change process.
  • Use the form for other updates to your NYCERS account. The F291 form is specifically for name changes.

Misconceptions

When it comes to updating personal information with official agencies, understanding the correct procedure is crucial. The NYCERS F291 form, used for name changes, stirs up several misconceptions despite its straightforward intention. Here are nine common misunderstandings clarified:

  • Notarization is optional. This is incorrect. For the form to be considered valid, it must be notarized. This step verifies your identity and the authenticity of the signature.
  • Any document can prove a name change. Not all documents are accepted. Official proof, such as a marriage certificate, divorce decree, or court order, is required to process a name change.
  • The process is instant. Processing times can vary. While NYCERS aims to update records promptly, it's important to allow sufficient time for the change to be reflected in their system.
  • You can submit the form without a member or pension number. Including a member or pension number is crucial. This unique identifier helps to locate your records efficiently and ensure updates are made correctly.
  • A phone call is enough to change your name. Despite any verbal confirmations, a completed F291 form and the necessary documentation are required to officially change your name in NYCERS records.
  • The form can be submitted electronically without a signature. A physical signature, along with notarization, is mandatory. This formalizes the affidavit and provides an additional layer of verification.
  • Legal representation isn't necessary. While legal advice can be beneficial, especially in intricate situations, it’s not a requirement for submitting a name change through NYCERS. The form is designed to be accessible to individuals handling the process on their own.
  • Affixing an official seal is mandatory. The line "If you have an official seal, affix it" suggests this step is optional, not a requirement for all submissions.
  • The form covers all NYCERS-related updates. While the F291 form is specifically for a name change, other updates, such as address changes or beneficiary updates, require different forms or processes.

Ensuring that your personal information is up-to-date with NYCERS is important. Understanding these common misconceptions about the F291 form helps streamline the process, ensuring that your name change is handled efficiently and accurately.

Key takeaways

Filling out and using the NYCERS F291 form is an important process for members who wish to have their name changed on official records. Understanding the steps and requirements involved can make the process smoother and ensure successful updates. Here are key takeaways to guide through this process:

  • The F291 form is specifically for members of NYCERS who need to update their name on the organization's records. It’s a vital step for keeping personal information updated and accurate.
  • Proof of name change is crucial when submitting your application. Acceptable documents include a court order, marriage certificate, or divorce papers. This documentation is necessary to verify the name change and process the application efficiently.
  • Before sending the application, it's important to notarize the form. This involves signing the form in front of a Notary Public or Commissioner of Deeds who will also sign and seal the document, adding an extra layer of verification to your application.
  • Completing contact information thoroughly is important for any follow-up communication. This includes providing a daytime phone number where NYCERS can reach out if there are any questions or additional information is needed.
  • The form asks for detailed information about your employment or retirement status. Completing this accurately ensures that records are updated in the correct context.
  • Instructions for where to send the completed form are provided, making it clear where the form needs to go after completion. Following these instructions carefully avoids any delays in processing your request.
  • NYCERS offers assistance through their Call Center for members who have questions about filling out the form or the name change process in general. This is a valuable resource for anyone needing clarification or facing difficulty with their application.
  • The member's signature is required in two places on the form: once to request the name change and once to acknowledge before a notary that the information provided is true and correct. This emphasizes the importance of the member's declaration in the process.
  • There is an "Official Use Only" section on the form intended for NYCERS staff. Members filling out the form do not need to fill in this section, reinforcing the importance of reading instructions carefully and filling out only the required parts of any official document.

By understanding these key aspects of the F291 form, NYCERS members can navigate the name change process with confidence, knowing they have fulfilled all necessary requirements to update their personal information accurately and effectively.

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