IMRF encourages you to use secure access for these transactions whenever possible. It's faster, easier and more secure. PDF forms may be downloaded and filled in on your computer to enhance legibility.
| If you want to... | Do It Online | Download Form |
|---|---|---|
| Establish or change tax withholding from benefit payments | Member Access | Form W4P |
| Make changes to your name, address, phone or other information | Member Access | Form 6.20R |
| Apply for a death benefit | NA | Form 5.30 |
| Apply to serve as a representative payee for an annuitant | NA | Form 5.60 |
| Apply to serve as a representative payee for an annuitant by a nursing home or hospital | NA | Form 5.63 |
| Name or change the beneficiary of your annuitant death benefit | Member Access | Form 6.11A |
| Establish or change direct deposit of payments | Member Access | Form 1199 |
| Authorize IMRF to deduct insurance premiums from your benefit payment to your former employer for health insurance | NA | Form 7.10 |
| Elect to have deductions for health or long-term care insurance premiums paid directly to the insurer for a retired public safety officer. | NA | Form 7.12D |
| Instruct IMRF to pay insurance premiums from your pension directly to your former employer for health or long-term care premiums for a retired public safety officer. |
NA | Form 7.12E |
| Prepare a Qualified Illinois Domestic Relations Order (QILDRO) for filing in court in the event of divorce | NA | Form QILDRO |
| Request to remove name and address from blind mailings | NA | Blind Mailings Removal Request Form |