The following forms (PDF format) are available for download using Adobe Acrobat.
NEW HIRE RETIREMENT FORMS - FOR EMPLOYEES HIRED ON OR AFTER JULY 1, 2019
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GENERAL FORMS for ACTIVE EMPLOYEES
- Opt Out of Defined Retirement
- Account Balance Request
- Beneficiary Change Form
- Beneficiary Change Form - for POLICE OFFICERS
- Research Request Form
- Preparing for Retirement
- Event of My Death
QDRO
ESTIMATE REQUESTS
DEFERRED VESTED RETIREMENT APPLICATIONS
- Employee Deferred Vested Retirement Application
- Police Officers Deferred Vested Retirement Application
- Uniformed Deferred Vested Retirement Application
NORMAL/EARLY RETIREMENT APPLICATION/PACKAGES
- SCHOOL Employee Normal/Early Retirement Package
- Employee Normal/Early Service Retirement Application
How To / Español
- Police Officers Normal/Early Retirement Package
- Uniformed Normal/Early Service Retirement Package
How To
JOINT & LAST SURVIVOR OPTION AT NORMAL RETIREMENT ELIGIBILITY DATE
- This form is only for members who reached early or normal retirement eligibility.
- Employee Joint and Last Survivor Bridging Option
- Police Officers Joint and Last Survivor Bridging Option
- Uniformed Joint and Last Survivor Bridging Option
DROP ENTRY FORMS/PACKAGES
- SCHOOL Employee DROP Entry Package
- Employee DROP Entry Form
How To
- Police Officer Entry
- Uniform DROP Entry
DROP EXIT FORMS/PACKAGES
- School DROP Exit Package
- Employee DROP EXIT Form
- Police Officer DROP EXIT Package
- Uniformed DROP EXIT Package
REFUNDS
- Acknowledgement of Employment Termination (Refund Application/Deferred Vested)
- If you are leaving or have already left Fairfax County employment, you should review the Options for Terminating/Separating Employment. Members who are vested should review the Deferred Vested Retirement section of the Retirement Handbook
- Please read this Special Tax Notice before downloading any refund forms
- Spouse Refund/Benefit Request Employees' and Uniformed Systems
LINKS TO TAX FORMS
FORMS for RETIREES
- Change of Address for GENERAL COUNTY Retirees
- Change of Address for SCHOOL Retirees
- Direct Deposit
How To / Español
- Secondary Direct Deposit
- Event of My Death
- Life Insurance Beneficiary Change
- Retirement Income Verification
- Stop and Reissue Payment Request
- Tax Form - Federal Withholding (W-4P)
- Tax Form - VA Withholding (VA-4P)