Member Forms
Below are links to all of our required forms used during your membership. The "Application Package" and "Retirement Package" consists of a number of forms which may or may not be required by you when completing the primary form. They are, however, included in the packaged set to insure that you are aware of and have easy access to them.
All forms following these packaged forms are then listed for your individual selection.
Once selected, you can now fill out the forms using your computer and Acrobat Reader, which is installed on the majority of computers in use today. Or, you can click on Acrobat Reader to download and install the latest free version of this software.
To fill out and print your forms for mailing to the Fund office:
1. After selecting and having a form open, position the pointer over the first blank line on the form, and click. The data entry area will appear surrounded by a blue box. The I-beam pointer allows you to type text. The arrow pointer allows you to select a check box or an item from a list.
2. After entering text or selecting an item, do one of the following
• Press Tab to accept the form field change and go to the next form field
• Press Shift+Tab to accept the form field change and go to the previous form field
• Press Enter (Windows) or Return (Mac OS) to accept the form field change and deselect the current form field
• Press Escape to reject the form field change and deselect the current form field.
• Some forms contain more than one page. Use your scroll bar to move to the next page.
3. Once you have filled in the appropriate form fields, you MUST print the form. Instructions to help you appear to the left just above the form.
4. Once printed, fill in any missing blanks if necessary, complete the required signatures and mail it to the Fund office.
NOTE: You cannot email these forms to our office. They must be printed and mailed in hardcopy.
For our address or further assistance in completing the forms, you can Contact Us.
Application
For Membership For new members. Package contains all forms associated
with this process.
Application
for Retirement For members to complete and
submit 60 days prior to their retirement. Package contains all forms associated
with the process.
Individual Forms
Application
For Purchase of Prior Service To be completed and submitted when
applying for "Buy Back" time.
Application
For Membership An application form without any associated forms.
Application
For Retirement An application for retirement form to be submitted
60 days prior to retirement.
Automatic
Dues Payment To instruct your bank to pay your dues automatically.
Change
of Address To be completed and submitted every time your address
& contact information changes.
Change
of Beneficiary Prior to retirement, Change of Beneficiary notice.
Important
Notice For Applicants Instruction form for new applicants.
Important
Notice For Retiree Applicants Instruction form for starting your
retirement.
Non-Vested Death Benefit An application form submitted by designated beneficiary upon the death of a member before benefits have commenced .
Part Time Creditable
Service Affidavit Required form for part time firefighters to
certify their service.
Retiree
Beneficiary Information Used to select your retirement option
and name your beneficiary.
Refund
Request Used to submit a refund when no longer a member of the
pension fund.
Retiree
Direct Deposit Used to arrange for the automatic deposit of your
retirement benefit to your bank account.
Social Security Determination Letter for Benefit Payments Opinion letter from Social Security.
Tax
Withholding Request Used by retirees or surviving beneficiary
to have state and/or federal tax withheld from their benefit payment
Transfer
Form Used by members when transferring their service from one
department to another.
Volunteer
Service Affidavit Required form for volunteer firefighters to
certify their service.
Fire Department Forms
Fire Department Information Information form for fire departments.