Purpose
To notify agencies of the revised Next of Kin Affidavit form, AC 934-P (Rev. 10/06), for payroll transactions.
Affected Employees
Beneficiaries of deceased State employees.
Effective Date(s)
Immediately.
OSC Actions
The Next of Kin Affidavit form, AC 934-P (Rev. 10/06), is revised to include additional information per OSC's Division of Legal Services and Internal Revenue Service regulations.
NOTE: OSC will accept only this new revised form for all payroll transactions.
Agency Actions
Agencies must use the revised Next of Kin Affidavit form, AC 934-P (Rev. 10/06), and discard all prior versions.
Click here to access the Next of Kin Affidavit form available on the OSC Web site.
Agencies also may contact OSC’s Office Services by telephone at 518-474-3438 or by fax at 518-473-4560 to request a supply of the new form. Agencies must specify the AC 934-P form for payroll transactions.
Attachment
AC 934-P Next of Kin Affidavit.
Questions
Questions regarding this bulletin may be directed to the Payroll Deductions mailbox.