Georgia Firefighters' Pension Fund

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.
• Retiree instructions for Northern Trust (PDF)
  Instructions for logging into Northern Trust
• 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 (PDF)
  Required form for volunteer firefighters to calculate and certify their service.