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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 - Form W-4P
  
  
• Member Information Change - 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
  
  
• Health Care Program Premium Deduction Authorization for IMRF Endorsed Plans - Form 7.10E
  
  
• Qualified Illinois Domestic Relations Order (QILDRO) - QILDRO Form