Retirement Forms

Member Benefit Forms

• Application for Reinstatement to Service
• Authorization to Use or Disclose Protected Health Information
• Beneficiary Change Form
• Beneficiary Selection Form
• Beneficiary Selection Form (Option D form)
• Disability Application Glossary of Terms
• Disability Retiree Earned Income Worksheet
• Disability Retirement Application
• Disability Retirement Benefits for Veterans
• Instructions for Submitting the Annual Statement of Earned Income
• New Member Enrollment Form
• Pre-Tax Rollover Form
• Refund Form (Member)
• Retirement Application (voluntary superannuation)
• Retirement Option Selection Form
• Special Tax Notice Regarding Lump Sum Distributions
• Statement Concerning Your Employment in a Job Not Covered by Social Security
• Veterans’ Buyback Form
• Waiver of Applicant Attendance at Medical Panel Examination During COVID-19 Pandemic

Survivor Benefit Forms

• Application for Member Survivor Benefits
• Notice of Election of Benefits under 12(2)(d)
• Refund Form (Beneficiary)
• Spousal Affidavit to Determine Benefit Eligibility

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