Benefits Estimate Request Form


* Is this a Buy Back only request?
* Are you within 3 years of Early or Normal Retirement ?

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Employee Class
Current Status
Marital Status


Estimate(s) Requested: (Check All that apply):








Buyback Estimates(s) Requested:




Has this service been purchased?


Has this service been purchased?

Out of City Public Verification Form


Has this service been purchased?
(Verification form must be completed and submitted by previous employer.)

Submitted by:
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Acknowledgement:
I understand that estimates are completed in the order they are received and it may take up to six weeks for me to receive an estimate.
I also acknowledge there is a maximum of two calculations per retirement type in a calendar year I can receive from an analyst.
Additional calculations within a calendar year can be provided by utilizing the pension calculator on the Retirement Website.