Forms
Disability Retirement Information and Forms
- An Introduction to Disabilty Retirement (Glossary of Terms)
- Member's Application for Disability Retirement with Introduction. (8/2008) (PDF)
- Employer's Statement with Introduction (PDF)
- Physician's Statement with Introduction (8/2008) (PDF)
General Membership Information
- Application for Withdrawal of Accumulated Total Deductions Form (PDF)
- Pre-Tax Rollover Acknowledgement Form (PDF)
- Beneficiary Selection Form (If Member Dies Before Retirement) (PDF)
- Notice of Election of Benefits Under G.L. c. 32, § 12(2)(d) (PDF)
- Application by Member Requesting to Continue Retirement Contributions Beyond the Age of 70 Pursuant to G.L. c. 32, § 90(G)(¾) (PDF)
- Special Tax Notice Regarding Lump Sum Distributions for Distributions Made After January 1, 2002 (PDF)
- New Member Enrollment Form (PDF)
- Beneficiary Change Form (Option B) (If Member Dies After Retirement)(PDF)
- Application for Voluntary Superannuation Retirement (PDF)
- Choice of Retirement Option Form at Retirement (PDF)
- Affidavit to be Filed with the Retirement Board by Spouse Seeking Member Survivor Benefits (PDF)
- Application for Member Survivor Benefits Under G.L. c. 32, § 12A (PDF)
- Employer's Certification in Connection with Termination Retirement Allowance Pursuant to G.L. c. 32, § 10(2) to be Filed with the Retirement Board (PDF)
- Employer's Request for Information (PDF)
- Statement concerning Your Employment in a Job Not Covered by Social Security (SSA-1945) (PDF)
- Disability Retirement Benefits for Veterans, Chapter 157 of the Acts of 2005 (Also includes cover memo.) (PDF)
- Sample Domestic Relations Order (PDF)
