| Serving New York Educators Since 1921 |

Introduction | Completing the Retirement Report | Table of Contents
The Retirement System requires specific information from employers when members file for retirement. The information is needed so we can accurately and efficiently calculate the member's pension and begin providing the retiree with a monthly allowance.
When an application for retirement is received from an employee of a school district, SUNY, Education Department, community college, the School for the Deaf or the School for the Blind, a Retirement Report (QTR-78) form will be sent to the employer. If the member has not recently been employed at your location, you may be sent a Statement of Salary Data (QTR-78.1) form in lieu of the previously mentioned document.
Regardless of employer, the information being requested is vital in order for the retiree to receive her/his full benefit. This information, as well as your monthly employer report, will be used to calculate the member's retirement allowance.
The Retirement Report is a single page document that you should complete and return by mail or fax to (518) 447-2979. This form has been designed to simplify the review and completion process. The Retirement Report should be typed or completed in ink as follows.
Last Day Salary Was Earned: This is usually the last day of a contractual obligation and not necessarily the date of the member's final paycheck.
Title: Required for 11- and 12-month employees only. If the retiree has separate agreements with the district, a copy of these agreements should be forwarded for the last five full school years worked in your district.
Compensation for Other Than Regular Duties: The columns represent the final five school years. Indicate the total paid in the appropriate box and indicate "-0-" or "none" in all other boxes.
Payments Made on or After Effective Date of Retirement: Please report all payments made on or after the retirement date shown. Identify these payments regarding categories (i.e., salary, retirement incentive, post retirement, etc.) providing the date payment was made and if the payment was salary earned prior to the retirement date.
Signature: The signature of the superintendent, the college president, or a designee must appear on the Retirement Report. If you have more than one report, please sign the final page only.