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Application for Service Retirement from Disability Retirement Purpose of the Form Use this form to change the status of your retirement from disability retirement to service retirement, and to name.

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How to fill out the Amazon online

This guide provides a clear and comprehensive approach to complete the Amazon form for changing your retirement status from disability to service retirement. Follow these steps to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete the Amazon form.

  1. Press the ‘Get Form’ button to access the form. This will allow you to open the document in the designated editor.
  2. Begin filling out the Member Information section. Provide your full name (first, middle, last), Social Security Number, mailing address, city, state, zip code, daytime phone number, email address, and the name of your last employer.
  3. Next, enter the month and year you are eligible for service retirement, along with your date of birth in the specified format (mm/dd/yyyy). Then indicate your marital status by checking either single or married.
  4. Select one of the retirement benefit payment options and initial the checkbox next to your choice. The options available are Regular Retirement, Option 1, Option 2, Option 3, Option 4A, and Option 4B. Ensure you understand the implications of each option.
  5. If selecting Option 1, 2, 4A, or 4B, complete the Contingent Annuitant Selection section, providing the necessary details about the individual you are appointing as your contingent annuitant. Include their full name, Social Security Number, mailing address, relationship to you, and birth date.
  6. Complete the Member Acknowledgment section in front of a Notary Public. Ensure the notary verifies your acknowledgment and fills in their section.
  7. If you are married, have your spouse complete the Spouse Acknowledgment section in front of a Notary Public. The notary will then complete their section.
  8. Finally, review your completed form for any errors, then submit the form to PERSI as directed. You may also want to save a copy for your records.

Start your online application process today and ensure your retirement status is updated smoothly.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232