Form B



 Supervisor, Special Calculations
NYS Local and Employees' Retirement System
110 State Street

Albany, New York 12236

 

Dear                                    :

Would you please provide me with the Final Average Salary and the
Retirement Allowance without Option for the following SUNY retiree:

 

Name                     Social Security No.      Retirement Date

 

 

If you need any additional information, please let me know. My
telephone number is                              and fax number is

Thanks once again for your assistance.

Sincerely,