Below you will find all forms related to your service in BERS. Download, print, fill-out and return any forms you need to conduct business with BERS.
IMPORTANT UPDATE: The declaration of a State of Emergency in New York expired on June 24, 2021. BERS has rescinded its policy suspending the requirement to notarize incoming applications, effective June 25, 2021. All BERS forms submitted after June 24, 2021 must be notarized.
For Tier 1 members.
For Tier 2 members.
For Tier 4 members.
Certification of Attendance at Work Location
Claimant Statement for COVID-19 Death Benefit
Certification of COVID-19 Diagnosis and or Cause of Death
Notice of Participation World Trade Center
Agency Report WTC Disability
Special Durable Power of Attorney