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. - 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.