Get Virginia Retirement System New Member Enrollment Form

Filling out the Virginia Retirement System New Member Enrollment Form online is a crucial step for new members seeking to enroll in the retirement system. This guide will provide clear and detailed instructions to ensure that users can confidently complete each section of the form accurately.

Follow the steps to complete the form smoothly.

1. Press the ‘Get Form’ button to access the Virginia Retirement System New Member Enrollment Form and open it in your chosen editor.
2. Begin by filling in your personal information, starting with the Employer Code, followed by the Employer Name, and your full name (first, middle initial, and last name). Ensure to include your address, including street, city, state, and zip code.
3. Indicate your sex by selecting either 'Male' or 'Female'. Fill in your age and birth date in the provided fields.
4. Enter your employment date, detailing the month, day, and year when you commenced your position.
5. If you were previously a member of the Virginia Retirement System, provide your prior employer's name and indicate whether you received a refund. Include the dates of your previous employment.
6. Complete the Coverage Data section by detailing your membership and group life insurance effective dates. Indicate if you have chosen an optional retirement plan and check the appropriate box if you are rejecting coverage.
7. In the Beneficiary Designation section, designate your primary and contingent beneficiaries. Provide their names, social security numbers, birthdates, and their relationship to you. Ensure to correctly identify each beneficiary's order and designation.
8. If your agency offers special benefits, check the appropriate boxes that apply to your status, such as law enforcement or fire fighter.
9. In the Statement of Certification section, if you selected an optional retirement plan, include your signature with the date.
10. Seek the employer's representative to complete their certification, verifying the information and signing in the designated space.
11. Ensure that you have properly signed and dated the form. If you designated beneficiaries, remember to complete and submit a continuation form if needed.
12. Finally, review the entire form for completeness and accuracy. The form must be notarized to be valid. Options to save changes, download, print, or share the completed form are available upon finishing.

Complete your Virginia Retirement System New Member Enrollment Form online today to secure your retirement benefits.