|
At this time, most of our forms
are not available on-line. To obtain forms, please call, fax, or
email a request to the Hampshire County Retirement Office at
The following forms may be viewed and printed from this
web site by clicking on the HTML link for the appropriate form. If
you prefer to download the form as a Microsoft Word document or a PDF
file, click the appropriate link and save the form to your computer.
 |
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. |
| Active
Member Forms |
| Notice of Change of Name
or Address |
MS Word |
PDF |
| Member Change of
Beneficiary Form |
|
PDF |
| Retired
Member Forms |
| Retiree Change of
Beneficiary Form |
MS Word |
PDF |
| Notice of Change of Name
or Address |
MS Word |
PDF |
| Notice of Request for
Direct Deposit |
MS Word |
PDF |
| Federal Tax Form -- W4-P |
|
PDF |
The following forms may be obtained by contacting the
Hampshire County Retirement Office:
| Active
Member Forms |
| Change of Beneficiary
Form |
| Application for
Voluntary Superannuation Retirement |
| Application for
Disability Retirement |
| Application for
Withdrawal of Annuity Savings |
| Retired
Member Forms |
| Federal Tax Form --
W4-P |
Back to top | Home
|
