Employee and Retiree Service Center → Employees → Retirement planning → MCPS Core Plan and Supplement Plan application forms
MCPS Core and Supplement Plan Members' Application Forms
Members of the MCPS Core and Supplement Plan will need to download and complete the following forms
MCPS Form 455-2: Application for Retirement
MCPS Form 455-5: Designation of Beneficiary
Aetna Form GP 82519: Aetna Electronic Funds Transfer Authorization (Direct Deposit)
MCPS Form 455-22: Retiree Benefit Plan Enrollment
MCPS Form 480-4: Notice of Termination/Retirement
MCPS Form 281-50: MCPS Employees' Retirement/Pension System Federal and Maryland State Withholding Request
Additional Related Forms
MCPS Form 445-1: Change in Personal Information
MCPS Leave Payout Contribution
403(b) Salary Reduction Agreement for Leave Payoff
MCPS Leave Payout Contribution
457(b) Salary Reduction Agreement for Leave Payoff
Submit all forms to ERSC at least one month prior to your scheduled retirement.
Additional Resources
Understanding Your Retirement (PDF)
This booklet will guide you through the retirement process and assist you in understanding your retirement benefit.
Back to Retirement Planning