Follow the steps to successfully complete your refund application.

1. Click the 'Get Form' button to obtain the form and open it in the editor.
2. Begin by completing the 'Member Information' section. Provide your full name as it appears on official documents, your Social Security number, date of birth, daytime phone number, and email address.
3. Next, fill in your mailing address, ensuring it includes the street, city, state, and zip code. This information is vital for correspondence regarding your application.
4. In the 'Employment Information' section, state your last date of employment with any Florida Retirement System employer in the specified format (Month/Day/Year).
5. List all FRS employers you worked for in the three months leading up to your termination date, ensuring accuracy for each employer mentioned.
6. Read through the important information regarding refunding employee contributions to understand the implications of your request. This includes eligibility requirements and potential tax consequences.
7. At the end of the form, sign and date the application, confirming that you acknowledge the information provided.
8. Finally, save your changes and choose a method to submit your completed form. You can print, download, or share the document as needed. Ensure it is sent to the address or fax number provided.

Take the first step now and complete your refund application online.