Forms, Charts & Retirement Guides
Forms for Current / Active Members
- Beneficiary Selection Form – Return of Accumulated Deductions
- Beneficiary Selection Form – Option D (If Member Dies Before Retirement)
- DCCRS Name Address Change Form
- Retirement Estimate Request Form
- Request for Retirement Account Information Form
- Notice of Potential Veterans’ Benefits
Withdrawal / Rollover Forms (Inactive Members)
Forms for Retirement
- Application for Voluntary Superannuation Retirement
- Choice of Option at Retirement Form
- Supplemental Retirement Application Form
- Member Application for Disability Retirement
- Involuntary Retirement Application Form
- Physician’s Statement Pertaining to a Member’s Application for Disability Retirement
- W-4P – Use this form to change your federal tax withholding
Forms for Employer Units
- New Member Enrollment Form
- Supplemental New Member Enrollment Form
- Statement Concerning Your Employment in a Job Not Covered by Social Security
(used with New Member Enrollment Form) - Beneficiary Selection Form – Return of Accumulated Deductions
- Beneficiary Selection Form – Option D (If Member Dies Before Retirement)
Retirement Charts
- Group 1 – Hire Date Prior to April 2, 2012
- Group 1 – Hire Date On or After April 2, 2012
- Group 4 – Hire Date Prior to April 2, 2012
- Group 4 – Hire Date On or After April 2, 2012
Retirement Guides
- Retirees Rights and Responsibilities
- Guide to Retirement Benefit Calculations
- Retirement for Public Employees of the Commonwealth
- For Employees Who Became Members Prior to April 2, 2012
- For Employees Who Became Members On or After April 2, 2012
- Disability Retirement Guide
- Survivor Benefits for Employees Who Became Members Prior to April 2, 2012
- Survivor Benefits for Employees Who Became Members On or After April 2, 2012