Submit your proxy

The New York State Insurance Fund (NYSIF) updated new rules and regulations for safety group members. As a result, members must complete a new proxy. You may remember completing a proxy annually – this new proxy only needs to be completed once. Please fill out the proxy and return it to us at your earliest convenience.

Ways to complete the proxy:

Digitally: Complete the form online, print, sign and return via email, fax, or mail.

Manually: Print, fill out, sign, and return via email, fax, or mail.

Please note: Original signatures are required. NYSIF will not accept typed signatures. If you would like to complete the form and sign with an Adobe signature, simply email us a request and we will send you an electronic version to e-sign.

Contact information:

Email: info@rcnys.com

Fax: (518) 465-7960

Mailing address:

Retail Council of New York State

258 State Street

Albany, NY 12210

 

View and complete proxy 

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