These forms are in PDF format which can be read and filled out using Adobe Acrobat.
Retirement Systems Alert:
These forms are in PDF format which can be read and filled out using Adobe Acrobat.
FOR EMPLOYEES HIRED ON OR AFTER JULY 1, 2019
Beneficiary designation forms may be mailed or faxed, but a wet signature or electronic signature is required. It is not acceptable to type your name in the signature box.
When you are nearing retirement, you can request that our staff to prepare an estimate of your retirement benefits. To do so, fill out the appropriate form below depending on your employer.
If you work for Fairfax County Public Schools (FCPS) and are a member of the County's Employees' Retirement System, please contact your retirement analyst based on the first letter of your last name:
Last Name first letter is A - K Nydia Rivera nydia.rivera@fairfaxcounty.gov 703-279-8211
Last Name first letter is L - Z Susan Ayres susan.ayres@fairfaxcounty.gov 703-279-8228
If you work for the County in a non-public safety position, complete this form:
Employee Normal/Early Service Retirement Application
If you are a sworn police officer, please contact your retirement analyst:
Stephanie Davis 703-279-8229 Stephanie.Davis2@fairfaxcounty.gov
If you are a firefighter or other public safety employee, please contact your retirement analyst:
Stephanie Davis 703-279-8229 Stephanie.Davis2@fairfaxcounty.gov
If you are vested (have 5 or more years of service) but are not eligible for early or normal retirement, you may be eligible for a deferred retirement benefit. To apply for this benefit, complete one of the following forms:
If you are an active employee and have reached early or normal retirement eligibility, you can use the following forms to designate a beneficiary to receive benefits in the event of your death.
If you are eligible for normal retirement, you have the option of entering the Deferred Retirement Option Program (DROP). To do so, use one of the following forms to notify us that you want to enter DROP.
| FCPS Employees | Schools DROP Entry Form |
| General County Employees | Employee DROP Entry Form |
| Police Officers & Uniformed | Contact Stephanie Davis 703-279-8229 | Stephanie.Davis2@fairfaxcounty.gov |
If you are in the Deferred Option Retirement Program (DROP) and are ready to exit and retire, please contact Carmen Solis at Catalina.Solis@fairfaxcounty.gov or 703-279-8236.
If you left employment before retirement, you have options regarding the contributions that you have made by payroll deductions to the retirement system. We recommend that you review the Options for Terminating/Separating Employment. If you are vested (have 5 or more years of service), we recommend that you review the Deferred Vested Retirement section of the Retirement Handbook.
When you are ready to request a refund or rollover of your contributions, use this form: Acknowledgement of Employment Termination.
Please know that there will be tax consequences if you take a refund of your contributions, so we recommend that you read this Special Tax Notice.
If you are the spouse of a deceased Fairfax County employee in the Employees' or Uniformed Retirement Systems, use this form: Spouse Refund/Benefit Request.
If you need information or forms regarding federal or state taxes, follow these links:
If you are newly retired or you want to change your federal or state tax withholding, use these forms: