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Request for Estimate of Retirement Benefits

Complete this form and return to the Employee and Retiree Service Center. Employees must be eligible for retirement as of the projected date of retirement stated below.

  • This form is for: Eligible Retirees
  • Form number: 455-2A
  • Last revised: November 2011
Name
PDF Size
Form Number
Request for Estimate of Retirement Benefits 64 K 455-2A

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

 
For questions regarding forms, call Harriet Potosky at (301) 279-3538.

Updated November 23, 2011 | Maintained by Missy Gumula
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