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Retiree Checklist and Forms

All downloadable documents are in PDF format (get a free PDF reader).

back to Retirees

>> Benefits Checklist

 

Affidavit of Lost Check Agreement of Indemnity Form


Application for Refund of Erroneous Contributions Form


Direct Deposit Enrollment Form


Direct Deposit Exemption Form


Name Change Form

 

Request for Change of Address Form

 

Request for Change of Beneficiary Form

 

Withholding Certificate for Pension or Annuity Payments (W-4P) Form

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St. Thomas Office: (340) 776-7703 - St. Croix Office: (340) 718-5480