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  • All fields marked with an asterisk(*)are required.
  • If you have any technical questions or issues, please contact the NYSIF Help Desk at 1-877-435-7743 for further assistance. Monday through Friday from 7am. to 7pm.


(for example: enter A123-4567-8 as 12345678)

(mm/dd/yyyy)
(mm/dd/yyyy)

Required when "Have a SSN" is yes.

(mm/dd/yyyy)
(mm/dd/yyyy)
Employee Address
Preparer Info


If "Employer" selected, provide preparer information:

(with area code)
(Up to 5 digits)

If "NYSIF Employee" selected, provide NYSIF Employee preparer information:

(with area code)
(Up to 5 digits)
(This email address may be an individual or group email distribution.)

If "Third Party" selected, provide Third Party preparer information:

(with area code)
(Up to 5 digits)
(for example Transaction ID: begins with NP or SP followed by numbers and ending with Alphabets)