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Norfolk County Retirement System
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Forms

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Find a Form
Forms For Disability
  • PDF icon Disability Glossary of Terms
  • PDF icon Accidental Disability Checklist
  • PDF icon Member's Form for Disability Retirement
  • PDF icon Physician's Statement Form
  • PDF icon Employer's Statement Form
  • PDF icon Involuntary Retirement Application
  • PDF icon Waiver for Physical Attendance at Regional Medical Panel Examinations (Covid-19)
Forms For Those Ready To Retire
  • PDF icon Superannuation Retirement Application
  • PDF icon Choice of Retirement Option Selection Form
  • PDF icon Federal Tax Withholding Form 2024
Forms Needed During Retirement
  • PDF icon Change of Address Form
  • PDF icon Retiree Beneficiary Change Form (Option B Only)
  • PDF icon Federal Tax Withholding Form 2024
Forms Needed While You Are a Member
  • PDF icon New Member Enrollment Form
  • PDF icon Statement Concerning Your Employment in a Job (used with New Member form)
  • PDF icon Pre-tax Rollover Acknowledgment Form
  • PDF icon Lump Sum Application Tax Form
  • PDF icon Application for Withdrawal
  • PDF icon Beneficiary Form (If Members Dies Before Retirement)
How Do I
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720 University Avenue, Suite 120, Norwood, MA 02062 | Phone: (781) 821-0664

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