Please enter or revise the following information:
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DRO Form
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Draft a Domestic Relations Order(DRO)
Type of Document
Is this a new DRO or are you changing the terms of an existing DRO that has already been signed by a judge?
New Domestic Relations Order
Amended Domestic Relations Order
If amending a DRO previously filed with NYSTRS, please complete the information below.
Date the original DRO was granted
Name of the Granting Judge
Court of Jurisdiction
Participant (Member) Information
First Name
Middle Initial
Last Name
Suffix
Date of Birth
Social Security Number
Tier of Membership
(See Chart)
-Select-
Tier1
Tier2
Tier3
Tier4
Tier5
Tier6
Employment Status:
Active
Retired
If Participant is currently retired from NYSTRS, please enter the retirement date below.
Date of Retirement
Participant Address
Participant is currently a resident of the United States
Street Address
Street Address 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip Code
Participant is not currently a resident of the United States
Country of Residence
-Select-
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Austrian Empire
Azerbaijan
Baden
Bahamas, The
Bahrain
Bangladesh
Barbados
Bavaria
Belarus
Belgium
Belize
Benin (Dahomey)
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Brunswick and Lüneburg
Bulgaria
Burkina Faso (Upper Volta)
Burma
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands, The
Central African Republic
Central American Federation*
Chad
Chile
China
Colombia
Comoros
Congo Free State, The*
Costa Rica
Cote d’Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czechia
Czechoslovakia*
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Duchy of Parma, The*
East Germany (German Democratic Republic)*
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Federal Government of Germany (1848-49)*
Fiji
Finland
France
Gambia, The
Georgia)
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hanover*
Hanseatic Republics*
Hawaii*
Hesse*
Holy See
Honduras
Hungary
Iceland
Chad
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Serbia/Yugoslavia*
Kiribati
Korea
Kosovo
Kuwait
Antigua and Barbuda
Laos
Latvia
Lebanon
Lesotho
Lew Chew (Loochoo)*
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mecklenburg-Schwerin*
Mecklenburg-Strelitz
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nassau*
Nauru
Nepal
Netherlands, The
New Zealand
Nicaragua
Niger
Nigeria
North German Confederation*
North German Union*
North Macedonia
Norway
Oldenburg*
Oman
Orange Free State*
Pakistan
Palau
Panama
Papal States*
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Genoa*
Republic of Korea (South Korea)
Republic of the Congo
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Schaumburg-Lippe*
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands, The
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Texas*
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Two Sicilies*
Uganda
Ukraine
Union of Soviet Socialist Republics*
United Arab Emirates, The
United Kingdom, The
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Württemberg*
Yemen
Zambia
Zimbabwe
Address
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