Follow the steps to fill out the application form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Section 1—Faculty Member Information. Fill in your full name, university 10-digit ID, date of birth, years of service at Indiana University, department, and campus. Specify your phased retirement period by entering the start and end dates.
3. Define your proposed work schedule. Indicate your percentage of full-time equivalent (FTE) for the entire phased retirement period or mark 'Variable' and provide a detailed explanation of your proposed variable work schedule.
4. Proceed to Section 2—Faculty Member Signature. Affix your signature and date to indicate acceptance of the program’s provisions and confirm the retirement date as irrevocable.
5. Next, in Section 3—Departmental Signatures, ensure that the chair of department, dean of school, and campus faculty affairs sign and date the agreement to indicate their approval and agreement with the provisions stated.
6. Once all sections are completed and signed, save your changes. You may then download, print, or share the completed form as necessary.

Complete your Indiana University Phased Retirement Program Application & Agreement online today to ensure a smooth transition into retirement.