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Worcester Regional Retirement System
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Forms

Members

  • WRRS Prior Non-Membership Service Purchase Form
  • Elected Officials - Membership Selection Form
  • Previous Public Service Transfer Form
  • Beneficiary Selection Form
  • Option D Beneficiary Selection Form
  • Address Change / Name Change Form
  • Notice of Potential Veterans’ Benefits
  • Application for Withdrawal
  • Withdrawing as a Beneficiary - If Member Dies before Retirement
  • Child Support Law Provisions

Retirees

  • Application for Retirement Superannuation & Option Form
  • Tax Information for Retirees - Form W-4P
  • Choice of Retirement Option
  • Option B Beneficiary Change Form

Disabilities

  • Application for Disability Retirement
  • Treating Physician Statement
  • Glossary of Terms for Disabilities
  • Disability Retirement for Veterans

Employer Forms

  • New Member Enrollment Packet
  • Notice of Separation
  • Involuntary Disability Application
  • Disability Employer Statement

PERAC Guides

  • Retirement Guides
  • Employee Guide to Disabilities 
  • The HERO Act PERAC Memo
AttachmentSize
PDF icon Tax Form W-4P Directions98.44 KB

Worcester Regional Retirement System  •  23 Midstate Drive, Suite 106  •  Midstate Office Park  •  Auburn, MA 01501
Telephone: 508-832-6314  •  Fax: 508-832-6318  •  info@wrrboard.org
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