Office of the State Comptroller
Retirement Services Division
Tier III Estimator
Name
Employee Date of Birth	*	(mm/dd/yyyy)
Spouse / Survivor Date of Birth	*	(mm/dd/yyyy)
Average Salary	*
Retirement Month	Month January February March April May June July August September October November December *	Year *
Vesting Service	Years *	Months *(whole years and months)
Credited Service	Years *	Months *(if less than service credit)
Describe Survivor Options
rev 3/1/21

*