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Retirement Application Package

Retirement Forms

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Retirees

ERS Forms (For Personnel Department Use Only)

 

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Retirement Application Package

 

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Retirement Forms

 

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General

1099-R Form

 

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Active

Application for Refund of Accumulated Contributions (Please contact the ERS for more information)

Designation of Beneficiary  (Contributory/Hybrid Plans Only)

        (Please print Form 1-A on GOLDEN ROD or YELLOW paper)

 

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Retirees

Tax Withholding Form

 

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ERS Forms  (*For Personnel Department Use Only)
*Note:  All forms will not be processed unless submitted to the ERS with the appropriate supporting documents.

Social Security

 

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