Exhibit 5A Form 5.10 Application for Separation Refund (e-form also available)
Exhibit 5B Form 5.20 Application for Retirement Annuity (Pension)
Exhibit 5C Form 5.21 Notice of Intent to Retire Under Employer’s Early Retirement Incentive
Exhibit 5D Form 5.30 Application For Death Benefit
Exhibit 5E Form 5.40 Application for Disability Benefits
Exhibit 5F Form 5.41 Employer’s Statement -- Disability Claim
Exhibit 5G Form 5.42 Physician’s Statement -- Disability Claim
Exhibit 5H Form 5.45 Employer’s Notice of Trial Work Period or Termination of Disability
Exhibit 5I Form 5.48 Disability Payment Agreement Exhibit
Exhibit 5J Form 7.10 Health Insurance Premium Deduction Authorization
Exhibit 5K Form 1199 Authorization for Deposit of Illinois Municipal Retirement Fund Payments
Exhibit 5L Form BW-60 Distribution/Rollover Certification
Exhibit 5MA S-40 Certificate of Benefits for IMRF Pension
Exhibit 5MB S-40 Certificate of Benefits for Surviving Spouse Annuity
Exhibit 5N Form 7.12D Election For Pre-Tax Deductions for Health or Long Term Care Insurance Premiums Paid Directly to Insurer
Exhibit 5O Form 7.12E Election For Pre-Tax Deductions Health or Long Term Care Premiums Paid through Employer or Endorsed Plan Administrator
Exhibit 5P Form 3.01 Change Account for Electronic Payments from IMRF
Exhibit 5Q Tier 1/Tier 2 Comparison Chart for IMRF Regular Plan and ---- Tier 1/Tier 2 Comparison Chart for IMRF SLEP Plan
Exhibit 5R Return to Work and Effect on Tier 1 and Tier 2 Members Chart