Fund Forms
Member Forms
Form Packages
- Application for Membership (new) (PDF)
For new members. Package contains all forms associated with this process. - Application for Retirement (new) (PDF)
For members to complete and submit 60 days prior to their retirement. Package contains all forms associated with the process.
Individual Forms
- Application For Membership (PDF)
An application form without any associated forms. - Application For Purchase of Prior Service (PDF)
To be completed and submitted when applying for "Buy Back" time. - Application For Retirement (PDF)
An application for retirement form to be submitted 60 days prior to retirement. - Automatic Dues Payment (PDF)
To instruct your bank to pay your dues automatically. - Change of Address (PDF)
To be completed and submitted every time your address & contact information changes. - Change of Beneficiary (Prior to Retirement) (PDF)
Change of Beneficiary notice. - Leave of Absence Request (PDF)
Form used to request a leave of absence - Non-Vested Death Benefit (PDF)
An application form submitted by designated beneficiary upon the death of a member before benefits have commenced. - Part Time Creditable Service Affidavit (PDF)
Required form for part time firefighters to certify their service. - Refund Request (PDF)
Used to submit a refund when no longer a member of the pension fund. - Request For Hearing Form (PDF)
Form used to request a hearing before The Board of Trustees - Retiree Beneficiary Information (PDF)
Used to select your retirement option and name your beneficiary. - Retiree Direct Deposit (PDF)
Used to arrange for the automatic deposit of your retirement benefit to your bank account. - Social Security Determination Letter for Benefit Payments (PDF)
Opinion letter from Social Security. - Tax Withholding Request (PDF)
Used by retirees or surviving beneficiary to have state and/or federal tax withheld from their benefit payment - Transfer Form (PDF)
Used by members when transferring their service from one department to another. - Volunteer Service Affidavit (This form must be saved to your computer before starting) (PDF)
Required form for volunteer firefighters to calculate and certify their service. This form replaces the Volunteer Creditable Service Affidavit and the Volunteer Pension Eligible Credit Form (Oct. 2016)