Retirement Forms

A list of useful retirement forms. Please feel free to print the following form, fill it out, and return it to our office.


New Member Application Download
Application for membership in the Cambridge Retirement System

Beneficiary selection or change form Download
Fill out this form to name a beneficiary.

Application to purchase Military Service Download
For veterans to purchase military time, not to exceed 4 years.

Make-Up/Buyback Request Form Download

Refund Application Download
This form is used for members to request a withdrawal or rollover of their account after leaving employment with the City of Cambridge.  Please review the instructions carefully prior to completing the form.  You are always welcome to call or come to the office with any questions regarding this process.

Special Tax Notice Download
Special Tax Notice Regarding Lump Sum Distributions

Deduction form for members over 70 years old Download
Please contact the retirement office if you have any questions regarding this option.

Change of Address Form Download


Superannuation Retirement Application Download (Updated December 2011)
Use this form to apply for a retirement benefit.

Option Selection Form Download
Choice of option A, B or C, at retirement.

W4P Form Download
Use this form to adjust your Federal Tax withholding

2012 Direct Deposit Calendar Download



Retired Members Change of Beneficiary Form

Application for Withdrawal of Accumulated Total Deductions Form


Member's Application for Disability Retirement

Physician Statement Pertaining to a Member's Application for Disability Retirement

More Forms

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