Proctor Employment Forms
| Form | Description | link |
| Direct Deposit Form | REQUIRED for all new proctors. Attach a canceled or voided check with form OR have form completed by bank PRIOR to submitting it to the Board. If voided check is submitted and it is a joint account, both account holders must sign the form. |
Link |
| I9 Form and Instructions | REQUIRED for all new proctors.
Employment Eligibility Verification This form MUST be accompanied by proper identification to verify your identity and to authorize you to work as a proctor. |
Link |
| W4 Form | REQUIRED for all new proctors. Complete so Board can withhold the correct federal income tax. |
Link |
| IT-2104 | REQUIRED for all new proctors. Complete so Board can withhold correct state income tax |
Link |
| Notice of Right to Membership in a Public Retirement System (USC-49) | REQUIRED for all new proctors.
This form is required for all proctors, even if you are already a member of the New York State & Local Retirement System or a retiree. |
Link |
| Dual Employment Form | Only required for proctors currently employed by another NYS agency. Present this form to your existing human resources department for approval and then send the completed form to: NYS Board of Law Examiners -Corporate Plaza – Building 3, 254 Washington Ave Ext. Albany, NY 12203 (Attn: Employment Verification) |
Link |
| Retirement Registration Form (RS 5420) | Only required for proctors who wish to join the retirement system or are currently a member. | Link |
| Retirement Beneficiary Form (RS 5127) | Only required for proctors who wish to join the retirement system. | Link |
| Tier 6 Retirement Plan | Provided for proctors interested in information about Membership in Retirement | Link |