Form RS5420 - Oct 2022

The Employee Retirement System Membership form is used by employees of the New York Power Authority to enroll in the employee retirement system. The form requires personal and employment information such as name, social security number, hire date, and salary. The completed form can be submitted to the New York Power Authority.

Employees of the New York Power Authority who want to enroll in the employee retirement system.

The completed Form RS5420 should be submitted to the New York Power Authority.