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Office of the New York
State Comptroller
NYS Comptroller
Thomas P. DiNapoli
Use this form to report the death of a NYSLRS member or retiree. This information will be sent over a secure connection.
* Indicates a required field
Please provide any known information for the deceased person.
If you don’t know the NYSLRS ID, enter the registration number or retirement number, or you can enter the last four digits of the deceased person’s Social Security Number (if known) in the next field.
NYSLRS will need an original death certificate or certified copy before we can pay any death benefits.
NYSLRS will need an original death certificate or certified copy before we can pay any death benefits (all original documents will be returned). Mail the death certificate (we suggest certified mail — return receipt requested) to:
NYSLRS
110 State St
Albany, NY 12244-0001
Note: We are currently unable to accept files through the form.
If the deceased has a surviving spouse or other close living relative, please provide their contact information.
