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Retirement Forms

While you're here, click on the tabs above to find information and resources about retirement.

457 Deferred Compensation Plan Enrollment Form    
   Participation Agreement and Service Request PDF  
ORP Investment Company Change    
   ORP Change of Investment Company Form PDF You may change authorized investment companies once a year
Phased Retirement Agreement    
   Phased Retirement Program Agreement Template and Age Discrimination
   in Employment Act Disclosure
PDF  
Retiree Medical Forms    
   2017 Group Participant Medicare Part D Enrollment Form - ADOA PDF Additional Information
   2017 Retiree Health Benefits Enrollment Form - ADOA PDF Additional Information
Retiree Accumulated Sick Leave Forms (Submit to FSO within 31 days of retirement)
   Retiree Accumulated Sick Leave (RASL) Form (GAO-SL-50) PDF                                 Additional Information
**This form can only be opened using Adobe. In Chrome or Firefox, you will get a "Please Wait" error message. Simply download the form to your computer (even though you can't see it). It will appear in your downloads folder and you can open it on your computer.
   Employee's Arizona Withholding Election (Submit with RASL form) PDF Additional Information
   Retiree Accumulated Sick Leave Checklist for University Employees
   (Submit with RASL form)
PDF Additional Information
   Retiree Accumulated Sick Leave Federal Taxes
   (Submit with RASL form)
PDF Additional Information
   Retiree Accumulated Sick Leave Nationwide - Deferral Notification Form
   (Submit with RASL form - if applicable)
PDF Additional Information