FORMS

Beneficiary Designation Form

Change of Address Form (Deferred Members)

Change of Address Form (Retired Members)

Direct Deposit Authorization Form

Disability Retirement Application

Domestic Relations Order (DRO) Model A (Active Members) Form

Domestic Relations Order (DRO) Model B (Retired Members) Form

Medicare Part B Reimbursement Form

Member Enrollment Form

Member Waiver Form

Reciprocal Self-Certification Form

Request for Estimate Form

Request for Retirement Application Form

Return to Active Membership Application

RPESJC Deduction Form

Service Credit Purchase Request Form

Special Power of Attorney Form

Tax Withholding Form

United Way Deduction Form

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