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STATEN ISLAND DEPARTMENT OF SANITATION RETIREES

Forms

Click on form to open

2025 Pension Payment Calendar

Welfare Fund

DSNY Retirees Board Member 

2025 Membership Form

  2025 Hall Meetings

2025 Zoom Meetings

Retiree change of address form

When you turn 65

NYS Absentee Ballot Application

OLR FORMS

2024 IRMAA Form  
 (A)Medicare Part B Enrollment Application Filed once in your lifetime when you turn 65

FOR ANY QUESTION PLEASE FILL OUT FORM ON CONTACT PAGE EAVE YOUR PHONE NUMBER

Staten Island Department of Sanitation Retirees

P.O Box 120139

Eltingville, NY 10312

Not affiliated with The City of New York and/or The New York City Department of Sanitation.