Hampshire County Retirement System
Member Forms
Active Member Forms
- Beneficiary Selection Form for Refund of Accumulated Deductions if Member Dies before Retirement 022020.pdf
- Beneficiary Selection Form Option D If Member Dies Before Retirement 022020.pdf
- Member Change of Name or Address.pdf
- Statement Concerning Employment Not Covered by Social Security.pdf
- ApplicationWithdrawAccDeductions Beneficiary 2021.pdf
Inactive Member Forms & Notices
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Benefit Guides
Creditable Service
Death Before Retirement
Estimate of Potential Benefits
Group Classifications
Member Contributions
Member Eligibility
Creditable Service
Death Before Retirement
Estimate of Potential Benefits
Group Classifications
Member Contributions
Member Eligibility
Hampshire County
Retirement System
99 Industrial Drive
Northampton, MA 01060
413-584-9100
413-587-9396 (fax)