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IMRF Forms for Retired Members

This index is designed to provide our retired members access to their forms quickly. If you don't see the form you are looking for on this page, try our main forms index or contact IMRF Online.

In order to view these documents online, you need a software application called Adobe Reader. If you don't have this software, it can be downloaded 100% free of charge. It will allow you to view and print the IMRF publications available online.

You may then print the form, complete it, and then send it to IMRF by fax (630-368-5397) or mail it to:

IMRF
2211 York Road
Suite 500
Oak Brook, IL 60523-2374

Keep in mind that not all IMRF Forms are currently available on IMRF Online.


  • Withholding Certificate for Pension or Annuity Payments - Form W-4P

  • Member Information Change - Form 6.20

  • Surviving Spouse Application for Death Benefit - 5.30

  • Application to serve as Representative Payee for Annuitant - Form 5.60

  • Application to Serve as Representative Payee for Annuitant by Nursing Home or Hospital - Form 5.63

  • Designation of Beneficiary for Annuitants - Form 6.11A*
    *Please note that if you make any changes to the text of the Designation of Beneficiary form, you must initial each change as you would for any other legal document. If you do not do this, the form will not be accepted.

  • Direct Deposit Authorization - Form 1199

  • Health Insurance Continuation Through Employer—Premium Deduction Authorization - Form 7.10

  • Health Care Program Premium Deduction Authorization for IMRF Endorsed Plans - Form 7.10E

  • Qualified Illinois Domestic Relations Order (QILDRO) - QILDRO Form
 

If you have questions regarding IMRF benefits, contact us by email or call 1-800-ASK-IMRF (1-800-275-4673)

IMRF Online provides a brief summary of IMRF benefits and the administration of those benefits.
IMRF members' and employers' rights and obligations are governed by Article 7 of the Illinois Pension Code.

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Page Last Updated by JC on 07/24/03