Lawrence Retirement Board

Forms

Available for Download/Print

The following is a list of Retirement System forms that are available for download/print online. Simply follow the instructions below. If you have any questions or concerns, please contact the Retirement Office. The forms are created in PDF format, ADOBE Acrobat reader will be necessary to access the forms (click link below).

Note: In order to view PDF files on your computer, you must have Adobe Acrobat Reader installed. Click the button to the left to download the latest version.

We ask that you do the following:

•  Select a form from the list.

•  Print the form out.

•  Fill it in.

•  Sign and date the form.

•  Mail it to the Retirement Board.

New Member Enrollment

[PDF]

Beneficiary Selection (Active Employee)

[PDF]

Beneficiary Change (Retiree)

[PDF]

Application for Withdrawal of Accumulated Total Deductions (Refund Form)

[PDF]

Special Tax Notice Regarding Lump Sum Distributions
For Distributions Made After January 1, 2002

[PDF]

Members wishing to continue contributions beyond age 70

[PDF]

Affidavit to be Filed with the Retirement Board by
Spouse Seeking Member Survivor Benefits

[PDF]

Application under G.L. c. 32, 4 (1)(h) Veterans eligibility

[PDF]

Direct Deposit Enrollment Form

[XLS]

Pre-tax rollover acknowledgement form

[PDF]

NOTE: Please remember to have all applicable forms signed and dated
by an eligible witness. All incomplete forms will be invalid.

  Guides Available for Download/Print

Massachusetts Public Employee Retirement Guide for members prior to April 2, 2012

PDF446KB

Massachusetts Public Employee Retirement Guide for members after April 2, 2012

PDF281KB

Guide to Disability Retirement for Public Employees

PDF491KB

Retiree's Rights & Responsibilities

PDF112KB

Guide to Survivor Benefits for Public Employees prior to April 2, 2012

PDF281KB

Guide to Survivor Benefits for Public Employees after April 2, 2012

Link

 

 

 

 

Back to top

Contact Us | ©2004 Lawrence Retirement System | Site designed and developed by Gina Rizzo, LRB | Hosted by City of Lawrence .