|Request For Verification
New York City Department of Education
Division of Financial Operations
Office of Employment Records Research
65 Court Street - Room 1703, Brooklyn, N.Y. 11201
|Please complete all items for verification of employment with the
N.Y.C Department of Education
Only service performed during time periods when employee was not a member of a retirement
system can be verified by the Office of Employment Records Research.
|Social Security #||Day Time Phone #|
|First Name||Last Name|
|Maiden Name||M.I.||Pension Membership Date|
|Home Address|| Apartment Number
(Check all that apply)
(Location of Employment)
|Hourly Pro/Per Session||-|
|Evening Community Center||-|
|After School Playground||-|
|Hourly School Lunch||-|
|School Aides, Guards||-|
|Annual School Lunch||-|
Forms required by other retirement systems must be submitted with this request.
Include additional information and unique requests in the comment box below.