Skip to main content Skip to footer site map

FormsStaffPersonnel → Statement of Military Service

Statement of Military Service

Employee’s Retirement or Pension System

About this Form

Form number: 455-18

Audience:  MCPS Staff

Last revised: November 2011

To be completed by employees who only participate in the Montgomery County Public Schools (MCPS) Retirement or Pension Systems. Employees must have a minimum of ten (10) years of credited MCPS service to be eligible for Military credit. Please submit original documentation and one copy to the Employee and Retiree Service Center (ERSC).

Adobe PDF Statement of Military Service
Employee’s Retirement or Pension System
53 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

Click here to log in