Member Forms

Form Packages

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.