Active Member Checklist and Forms

Checklist and forms for active members. Click the following icons to view, download and/or print the documents.

Benefits Checklist

Affidavit of Lost Check

Change of Address

Change of Beneficiary

Change of Name

Membership Record

Prior Service Form

Refund of Contributions

Refund of Erroneous Contributions

Additional Forms

Death Benefit Forms

Application for Death Benefits Form
Application for Duty Connected Death Annuity Form
Duty-Connected Death Annuity – Statement of Employing Unit

Duty Disabilty Forms

Duty Disability Guidelines & Application Form

Military Forms

Air Force Form RI20-97

Army Military Form RI20-97

Marines Military Form RI20-97

Navy Military Form RI20-97

Non-Duty Disabilty Forms

Disability Earnings Report Form

Non-Duty Disability Form

Petition for Appeal to the Board Form

Physician’s Guidelines

Physician’s Guidelines and Medical Report Form

Optional Benefit Forms

Election of Optional Benefits Form