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Form U3 – Retired Lump: Lump Sum Distribution Election

Form U3 - Retired Lump: Lump Sum Distribution Election

 

INSTRUCTIONS: ARIZONA LUMP SUM DISTRIBUTION ELECTION FORM (Form U3)

 

 

To elect to receive a lump sum distribution of funds in an Arizona retirement fund for elected officials, public safety personnel or corrections officers, file a form U3. This document can be obtained from the website maintained by these retirement systems.

 

Arizona Lump Sum Distribution Election Form U3 Step 1: On the first blank line, enter the name of the recipient.

 

Arizona Lump Sum Distribution Election Form U3 Step 2: On the second blank line, enter the Social Security number of the recipient.

 

Arizona Lump Sum Distribution Election Form U3 Step 3: On the third blank line, enter the date of the participant in the plan's retirement or death. This is not applicable if the form is being filed by an ex-spouse.

 

Arizona Lump Sum Distribution Election Form U3 Step 4: In section 1, check the first box if you are selecting a DROP, DROP beneficiary or CORP Reverse DROP election.

 

Arizona Lump Sum Distribution Election Form U3 Step 5: Check the second box if you are selecting a lump-sum death benefit.

 

Arizona Lump Sum Distribution Election Form U3 Step 5: In section 2, check the first box if you requesting total distribution to the recipient.

 

Arizona Lump Sum Distribution Election Form U3 Step 6: Check the second box if you are requesting a rollover. If so, you must list the financial institutions and the specific amount that will go to each as part of this rollover.

 

Arizona Lump Sum Distribution Election Form U3 Step 7: In section 3, enter your signature on the first blank line.

 

Arizona Lump Sum Distribution Election Form U3 Step 8: Enter the date on the second blank line.

 

Arizona Lump Sum Distribution Election Form U3 Step 9: The second page must be completed by every applicable financial institution if you are requesting a rollover. They should indicate your type of account with a check mark.

 

Arizona Lump Sum Distribution Election Form U3 Step 10: Your financial institution should enter the name of the account holder.

 

Arizona Lump Sum Distribution Election Form U3 Step 11: Your financial institution should enter your account number.

 

Arizona Lump Sum Distribution Election Form U3 Step 12: A financial institution representative should sign and date the form, as well as entering their mailing address.

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Withholding Certificate for Pension or Annuity Payments W-4P

Withholding Certificate for Pension or Annuity Payments W-4P

 

INSTRUCTIONS: ALABAMA WITHHOLDING CERTIFICATE FOR PENSION OR ANNUITY PLANS (Form W-4P)
 
 
Alabama public employees use a form W-4P to document their wishes regarding withholding federal income tax payments from pensions or annuities. This document can be obtained from the website of the Retirement Systems of Alabama. 
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 1: On the first blank line, enter your name.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 2: On the second blank line, enter your Social Security number.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 3: Check the box next to statement number 1 if you do not wish for federal income tax payments to be withheld from your pensions or annuities. If this is the case, you do not need to complete any other portion of this form.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 4: Check the box next to the statement number 2 if you wish to have federal withholding tax calculated based on your marital status and the number of exemptions claimed. 
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 5: On line A, check whether you are single, married  or married but wish to have taxes withheld at the higher single rate.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 6: On line B, enter the total number of exemptions claimed.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 7: Check the box next to statement number 3 if you wish to have an amount greater than required by tax tables withheld.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 8: If you have checked the box next to statement 3, indicate your marital status with a check mark on line A.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 9: Indicate your total exemptions claimed on line B.
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 10: If you wish to have an additional amount withheld, check the box next to statement number 4. Enter the dollar amount you wish to have withheld, indicate your marital status and enter the number of exemptions being claimed. 
 
Alabama Withholding Certificate For Pension Or Annuity Plans W-4P Step 11: Sign and date the form.
 

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Request to Fax Account Information

Request to Fax Account Information

 

INSTRUCTIONS: ALABAMA REQUEST TO FAX ACCOUNT INFORMATION 

 

 

Members enrolled in Alabama government retirement systems may request that certain information about their account be faxed to them. This is done using the form discussed in this article, which can be obtained from the website of the Retirement Systems of Alabama.

 

Alabama Request To Fax Account Information Step 1: At the top of the page, enter either "Member Services" or the name of a specific agent towards whom this request is directed.

 

Alabama Request To Fax Account Information Step 2: In Part I, indicate with a check mark whether this request applies to an ERS, TRS, JRF, PEEHIP or RSA-1 account.

 

Alabama Request To Fax Account Information Step 3: On the first blank line of Part I, print your  name.

 

Alabama Request To Fax Account Information Step 4: On the second blank line, enter the last 4 digits of your Social Security number. Alternately, you may enter your retirement or insurance account (PID) number.

 

Alabama Request To Fax Account Information Step 5: On the last blank line of this section, enter your contact phone number.

 

Alabama Request To Fax Account Information Step 6: In Part II, you must indicate the type of information you are requesting. Check the first box if requesting a verification of income and monthly benefits.

 

Alabama Request To Fax Account Information Step 7: Check the second box if requesting a certification of your retirement account balance.

 

Alabama Request To Fax Account Information Step 8: Check the third box if requesting a certification of DROP account balance.

 

Alabama Request To Fax Account Information Step 9: Check the fourth box if "other" and write the information you are requesting.

 

Alabama Request To Fax Account Information Step 10: Check the fifth box if you wish for a copy of your current year 1099R.

 

Alabama Request To Fax Account Information Step 11: Check the sixth box if you wish for a copy of a previous year's 1099R and enter the year.

 

Alabama Request To Fax Account Information Step 12: Enter the fax number to which this information should be faxed.

 

Alabama Request To Fax Account Information Step 13: Enter the name of the person who should be listed on the cover sheet and the company or business name if applicable.

 

Alabama Request To Fax Account Information Step 14: Enter your address if documenting a change of address.

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Form ERS TRF TR-2 Transfer of Membership from Employees’ Retirement System

Form ERS TRF TR-2 Transfer of Membership from Employees' Retirement System

 

INSTRUCTIONS: ALABAMA TRANSFER OF MEMBERSHIP FROM EMPLOYEES' RETIREMENT SYSTEM (Form ERS TRF TR-2)

 

 

To transfer credit from the Alabama Employees' Retirement System to the state Teachers' Retirement System, use the form discussed in this article. This document can be obtained from the website maintained by the Retirement Systems of Alabama.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 1: Part I should be completed by you. On the first blank line, enter your first name, middle name, last name and maiden name.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 2: If the name under which you were employed is different from the above, enter it on the second blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 3: On the third blank line, enter your Social Security number.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 4: Enter your home street address or P.O. box number on the fourth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 5: Enter your city, state and zip code on the fifth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 6: Enter the name of your last employing Employees' Retirement System unit on the sixth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 7: Enter the date of your last employment by this unit on the seventh blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 8: Enter the name of your present employing Teachers' Retirement System Unit on the eighth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 9: Enter the date on which your present employment began on the ninth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 10: Enter your signature on the tenth blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 11: Enter the date on the eleventh blank line.

 

Alabama Transfer Of Membership From Employees' Retirement System ERS TRF TR-2 Step 12: Part II should be completed by your last Employees' Retirement System employer. They should enter your total current year signature and their signature.

 

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Postretirement Employment Options

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Form RSA 50B OSS Application and Certification for Out-of-State Service Credit

Form RSA 50B OSS Application and Certification for Out-of-State Service Credit

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Form JRF 12 Insurance Authorization Form

Form JRF 12 Insurance Authorization Form

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Request for DROP Distribution and Rollover Election

Request for DROP Distribution and Rollover Election

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Form E6: Application for a Separation Benefit/Deferred Benefit

Form E6: Application for a Separation Benefit/Deferred Benefit

 

INSTRUCTIONS: ARIZONA APPLICATION FOR A SEPARATION BENEFIT/DEFERRED BENEFIT (Form E6)

 

 

Arizona elected public officials who terminate their employment may either apply for a refund of money contributed to their state-administered retirement plan or apply to have benefits deferred until they are of age to collect. These requests are made using a form E6. This document can be obtained from the website of the Elected Officials' Retirement Plan of the State of Arizona.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 1: Enter your name on the first line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 2: Enter your Social Security number on the second line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 3: Enter your street address, as well as your apartment number (if applicable) on the third line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 4: Enter your city, state and zip code on the fourth line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 5: Enter your phone number on the fifth line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 6: Enter your birth date on the sixth line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 7: Enter the name of your office on the seventh line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 8: Enter the beginning date of your employment in this office on the eighth line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 9: Enter the termination date of your employment in this office on the ninth line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 10: If you place your initials on the blank line in the section labeled "Refund Option," you are requesting a refund of contributions to the elected officials' retirement plan.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 11: If you place your initials on the blank line in the section labeled "Deferred Pension Office," you are leaving your credits on deposit in anticipation of collection when eligible.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 12: You must initial the next blank line.

 

Arizona Application For A Separation Benefit/Deferred Benefit E6 Step 13: Sign and date the bottom of the first page. Have your governing authority complete the certification of termination on the second page. 

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Authorization For Release Of Information

Authorization For Release Of Information

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