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Member Forms

Supporting Documents

  • Retirement Paperwork 670.14 KB
  • Refund/Rollover Forms 762.02 KB
  • Pre-Tax Rollover Acknowledgement Form (PDF) 66.8 KB
  • Disability Retirement Benefits for Veterans, Chapter 157 of the Acts of 2005 (Also includes cover memo.) (PDF) 106.97 KB
  • Sample Domestic Relations Order (PDF) 2.52 MB
  • Notice of Election of Benefits under 12(2)(d) 260.48 KB
  • New Member Enrollment Form 357.63 KB
  • Retirement Option Selection Form 349.96 KB
  • Application for Veterans' Benefits re. 4(1)(h) 268.72 KB
  • Application for Member Survivor Allowance under 12(A) 374.21 KB
  • Spousal Affidavit 12(2)(d) 331.35 KB
  • Superannuation Retirement Application 330.51 KB
  • Member's Disability Retirement Application 334.1 KB
  • Physician's Statement re. Disability Retirement 316.66 KB
  • Beneficiary Selection Form 11(2)(c) 350.42 KB
  • Beneficiary Selection Form Option D 326.35 KB
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General

Upcoming Events

  • Retiree Pay Date
    Tue, Jun 30 2026, All day
  • Retirement Board Meeting
    Thu, Jul 30 2026, 10am
  • Retiree Pay Date
    Fri, Jul 31 2026, All day
View the Calendar

Contact Information

Phone Number
617-305-5595
Email
Contact Group
Fax Number
617-371-1616
Address

2 Griffin Way
Chelsea, MA 02150

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