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Employee Benefits
Defined Benefit Program
Forms
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Forms
The forms below are supplied for general use by participants in the retirement fund. For city-specific forms, please contact your pension committee secretary.
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Name
Date
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Withholding Form - Federal W-4P
Additional Credited Service
Address Change Form
Application for Participation - CONTRIBUTORY CITIES ONLY
Change of Name Request Form
Date of Birth Affidavit
Direct Deposit Authorization
Direct Deposit Cancellation Authorization
Disability Certification Form
Withholding Form - Georgia G-4P
Income Verification Request
Leave of Absence Report
Post-Retirement Death Benefit Checklist
Pre-Retirement Beneficiary Designation Form
Pre-Retirement Death Benefit Checklist
Proof of Birth Requirements
Retiree Address Change Form
Retirement Application Checklist
Retirement Application Form
Retirement Application Instructions
Salary Sheet
SAVE Affidavit