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 Website Links
Retirement Programs

 Teachers' Retirement System (TRS) Selected Forms
Change of Address.pdf
Change of AddressUse SHIFT+ENTER to open the menu (new window).
Member Information and Beneficiary Change.pdf
Member Information and Beneficiary ChangeUse SHIFT+ENTER to open the menu (new window).
Depository Agreement for TRS Benefit Payments.pdf
Depository Agreement for TRS Benefit PaymentsUse SHIFT+ENTER to open the menu (new window).
Teachers' Retirement Insurance Program.pdf
Teachers' Retirement Insurance ProgramUse SHIFT+ENTER to open the menu (new window).
2009 Withholding Certificate for Pension or Annuity Payments (IRS Form W-4P).pdf
2009 Withholding Certificate for Pension or Annuity Payments (IRS Form W-4P)Use SHIFT+ENTER to open the menu (new window).
State of Illinois Income Tax Withholding Request.pdf
State of Illinois Income Tax Withholding RequestUse SHIFT+ENTER to open the menu (new window).

 Illinois Municipal Retirement Fund (IMRF) Selected Forms
Change of Address.pdf
Change of AddressUse SHIFT+ENTER to open the menu (new window).
Notice of Enrollment in IMRF.pdf
Notice of Enrollment in IMRFUse SHIFT+ENTER to open the menu (new window).
Designation of Beneficiary (Including Changing Beneficiary Information).pdf
Designation of Beneficiary (Including Changing Beneficiary Information)Use SHIFT+ENTER to open the menu (new window).
Retirement Checklist.pdf
Retirement ChecklistUse SHIFT+ENTER to open the menu (new window).
Application for Retirement Annuity.pdf
Application for Retirement AnnuityUse SHIFT+ENTER to open the menu (new window).
Direct Deposit Authorization Form.pdf
Direct Deposit Authorization FormUse SHIFT+ENTER to open the menu (new window).

 403(b) Program
Annuity Companies.pdf
Annuity CompaniesUse SHIFT+ENTER to open the menu (new window).

 Flexible Spending Plan
OTC_Drug_Listing.pdf
OTC_Drug_ListingUse SHIFT+ENTER to open the menu (new window).
Flexible Spending Plan Eligible and Ineligible Expense List.pdf
Flexible Spending Plan Eligible and Ineligible Expense ListUse SHIFT+ENTER to open the menu (new window).
Flexible Spending Plan Description.pdf
Flexible Spending Plan DescriptionUse SHIFT+ENTER to open the menu (new window).
Flex enrollment instructions and 2009-10 deadline.pdf
Flex enrollment instructions and 2009-10 deadlineUse SHIFT+ENTER to open the menu (new window).
2010-11 Flex Enrollment Form.doc
2010-11 Flex Enrollment FormUse SHIFT+ENTER to open the menu (new window).
Flexible Spending Orthodontic Scheduled Claim Form.pdf
Flexible Spending Orthodontic Scheduled Claim FormUse SHIFT+ENTER to open the menu (new window).
Flexible Spending Medical and Dependent Care Form.pdf
Flexible Spending Medical and Dependent Care FormUse SHIFT+ENTER to open the menu (new window).
Change in Status Form.pdf
Change in Status FormUse SHIFT+ENTER to open the menu (new window).

 Student Activity Account Forms
Record of Deposit (SA 1001).pdf
Record of Deposit (SA 1001)Use SHIFT+ENTER to open the menu (new window).
Check Request Form (SA 2002).pdf
Check Request Form (SA 2002)Use SHIFT+ENTER to open the menu (new window).
Authorization to Change Accounting (SA 3003).pdf
Authorization to Change Accounting (SA 3003)Use SHIFT+ENTER to open the menu (new window).
Petty Cash Disbursement and Reconciliation (SA 4001).pdf
Petty Cash Disbursement and Reconciliation (SA 4001)Use SHIFT+ENTER to open the menu (new window).

 Waiver Applications
2010-11 FEE WAIVER APPLICATION.pdf
2010-11 FEE WAIVER APPLICATIONUse SHIFT+ENTER to open the menu (new window).
Income Definition.pdf
Income DefinitionUse SHIFT+ENTER to open the menu (new window).
2009-2010 Fee Waiver Application.pdf
2009-2010 Fee Waiver ApplicationUse SHIFT+ENTER to open the menu (new window).
2009-2010 Milk Waiver Application.pdf
2009-2010 Milk Waiver ApplicationUse SHIFT+ENTER to open the menu (new window).

 Medical Insurance
PPO Mail Order Prescription Form.PDF
PPO Mail Order Prescription FormUse SHIFT+ENTER to open the menu (new window).
Benefit Summary 2010.pdf
Benefit Summary 2010Use SHIFT+ENTER to open the menu (new window).
HMO BlueCross BlueShield Plan Description.pdf
HMO BlueCross BlueShield Plan DescriptionUse SHIFT+ENTER to open the menu (new window).
BlueCross BlueShield Claim Form.pdf
BlueCross BlueShield Claim FormUse SHIFT+ENTER to open the menu (new window).
BlueCross BlueShield HMO and PPO Enrollment Form.pdf
BlueCross BlueShield HMO and PPO Enrollment FormUse SHIFT+ENTER to open the menu (new window).
PPO BlueCross BlueShield Benefits Booklet.pdf
PPO BlueCross BlueShield Benefits BookletUse SHIFT+ENTER to open the menu (new window).
HMO BlueCross BlueShield Benefits Booklet.pdf
HMO BlueCross BlueShield Benefits BookletUse SHIFT+ENTER to open the menu (new window).
HMO Mail Order Prescription Form.pdf
HMO Mail Order Prescription FormUse SHIFT+ENTER to open the menu (new window).

 Dental Insurance
MetLife Dental Enrollment Form.pdf
MetLife Dental Enrollment FormUse SHIFT+ENTER to open the menu (new window).
MetLife Dental Claim Form.pdf
MetLife Dental Claim FormUse SHIFT+ENTER to open the menu (new window).
MetLife Dental Benefits Booklet.pdf
MetLife Dental Benefits BookletUse SHIFT+ENTER to open the menu (new window).

 Life Insurance
Request for Change-Voluntary Life Insurance.pdf
Request for Change-Voluntary Life InsuranceUse SHIFT+ENTER to open the menu (new window).
Basic Life Ins. Designation of Beneficiary.pdf
Basic Life Ins. Designation of BeneficiaryUse SHIFT+ENTER to open the menu (new window).
Basic Life Insurance Enrollment Form.pdf
Basic Life Insurance Enrollment FormUse SHIFT+ENTER to open the menu (new window).
Voluntary Life Insurance Enrollment Form.pdf
Voluntary Life Insurance Enrollment FormUse SHIFT+ENTER to open the menu (new window).
Voluntary Life Information.pdf
Voluntary Life InformationUse SHIFT+ENTER to open the menu (new window).

 Miscellaneous Business Forms
Work Permit Requirements.pdf
Work Permit RequirementsUse SHIFT+ENTER to open the menu (new window).
Cost Control Awards Program.pdf
Cost Control Awards ProgramUse SHIFT+ENTER to open the menu (new window).

 Reimbursement Forms
Gas Card Reimbursement Form.pdf
Gas Card Reimbursement FormUse SHIFT+ENTER to open the menu (new window).

 Vendor Contracts
Net56.pdf
Net56Use SHIFT+ENTER to open the menu (new window).
Siemens.pdf
SiemensUse SHIFT+ENTER to open the menu (new window).
Xerox.pdf
XeroxUse SHIFT+ENTER to open the menu (new window).
GCA Service Agreement.pdf
GCA Service AgreementUse SHIFT+ENTER to open the menu (new window).

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