Member Forms
2012 Service Credit Upgrade Worksheet
 Chapter_218_12_VI_2012_Worksheet.pdf, 24.9Kb


 Compliance_Reporting_Form.pdf, 148Kb
Code of Ethic Compliance. To report suspected wrongdoing.

 EOOPS_Application_Form.pdf, 45.1Kb
To Buy Service Withdrawn from Other Public Plans. $500 Fee Applies.

 RACOPS__Application_Form.pdf, 18.2Kb
Calculation Payment Form - Out-of-Plan Service Purchases.

 Direct_Deposit_Form.pdf, 21.4Kb

 Additional_Contribution_Calculation_Request.pdf, 28.2Kb

2012 Additional Contribution Worksheet
 Chapter_218_9_III_2012_worksheet.pdf, 19.7Kb

 Additional_Contribution_Submission_Form.pdf, 53.8Kb

 Change_of_Name_and_or_Address_Form.pdf, 27.1Kb

 Election_for_Terminated_Vested_Employees.pdf, 126.8Kb

 Application_Accepting_Tax_Shelter_Funds_.pdf, 129.6Kb


 Refund_Application_Form.pdf, 225.4Kb

 Enrollment_Form_2008.pdf, 19.7Kb

 Form-Attending_Physicians_Statement.pdf, 45.7Kb

 Form_-_Ordinary_Disability_Application.pdf, 102.9Kb

 Form-Primary_Change_of_Beneficiary.pdf, 44.5Kb

 Form-Secondary_Change_of_Beneficiary.pdf, 44.3Kb

 Form-Release_of_Medical_Records.pdf, 16.7Kb

 Form_-_Work_Related_Disability_Application.pdf, 122Kb

 Retirement_Form_-_Letter_of_Intent.pdf, 27Kb

 Retirement_Form-10_Year.pdf, 11.1Kb

 Retirement_Form-100_.pdf, 14.9Kb
Be sure to get the mandatory Spousal Consent Form too.

 Retirement_Form-50_.pdf, 14.9Kb
Be sure to get the mandatory Spousal Consent Form too.

 Retirement_Form-66_.pdf, 15.2Kb
Be sure to get the mandatory Spousal Consent Form too.

 Retirement_Form-Life.pdf, 37.6Kb

Spousal Consent
 Spousal_Consent.pdf, 19.3Kb
Mandatory Requirement to be Filed Along with Retirement or Refund Applications.

 IRS_Form_W-4P_for_2012.pdf, 102.7Kb