Get Imrf Form Bf 20
Ns while completing this form, please call an IMRF Service Representative at 1-800-ASK-IMRF. (1-800-275-4673) PLEASE PRINT OR TYPE Member s first name Middle Initial Last Jr., Sr., II, etc. Street (Mailing) address Social Security number Telephone number (Home) ( City, State and Zip + 4 I Check this box if this is a new address I I Check this box if this is a new address I County Telephone number (Work) ( Date ) ) Signature Estimate One Anticipated Last Day of Work Estimate Two A.
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