FICA Refund Claim Inquiry Form

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LoDI Refund Claim Inquiry

The City filed refund claims for both the employer's and employees' share of the FICA taxes paid on LoDI payments received by eligible City employees for a period of six months or less for the years 1989 through 2005. This was done for the following groups:

Uniformed members of the City's Correction, Fire, Police and Sanitation departments
Employees of the City's Department of Education and District Attorney offices of New York, Bronx, Queens, Kings, Richmond Counties and Special Narcotics

If you believe your address must be changed, complete and submit the Change of Employee Address for FICA Refund Claim form.

Please note: Completing this form will not change the City's Payroll Management System address. Should you choose to change the City's Payroll Management System address, you must contact your City agency's personnel division to change your address.

Contact information (email, name and mailing address, or phone) is REQUIRED if you would like a reply.

Email is required for you to receive an acknowledgement of receipt.

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First Name: *

Last Name: *

Company Name:

Address:

Apartment/Suite Number:

City:

State:

ZIP/Postal Code:

Phone:

Email:

Message:

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