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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.

To view and print 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.

Send the completed from to IMRF by fax (630-368-5397) or mail to:

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

Not all IMRF forms are currently available online.


  • Withholding Certificate for Pension or Annuity Payments - W4P
    (Can also be submitted via Member Access)

  • Member Information Change - Form Submit changes to your name, address, etc. via Member Access
  • 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

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

If you have questions regarding IMRF, Communicate with Us.

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IMRF Online provides a brief summary of IMRF benefits and the adminstration of those benefits. IMRF members' and employers' rights and obligations are governed by Article 7 of the Illinois Pension Code. Statements in these publications are general, and the Illinois state law governing IMRF is complex and specific. If a conflict arises between information in these publications and the law, all decisions are based on the law.

Copyright Illinois Municipal Retirement Fund

Page Last Updated by JC on 01.23.12