A list of useful retirement forms. Please feel free to print the following form, fill it out, and return it to our office.
Cambridge Retirement Board Forms
Members
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.
Refund Application Download
Application to withdraw/rollover accumulated deductions. Please be sure to read the Refunds FAQ page before completing your application.
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
Retirees
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
2011 Benefit Verification Form Download
This form must be completed by all retirees and returned to the CRB by April 15, 2011.
PERAC Forms
General
Retired Members Change of Beneficiary Form
Application for Withdrawal of Accumulated Total Deductions Form
Disability
Member's Application for Disability Retirement
Physician Statement Pertaining to a Member's Application for Disability Retirement
