| Form no. | Form Description |
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Form 11S
| 11S-Monthly Remittance of Fees for the Registers of Deeds' Supplemental Pension Fund |
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Form 170
| 170-Authorizing Direct Deposit |
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Form 170S
| 170S-Survivor's Benefit: Authorizing Direct Deposit |
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Form 170TB
| 170TB-Authorizing Direct Deposit for the Transfer Benefit |
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Form 237
| 237-Reporting Your 2023 Income To Continue Your Retirement System Disability Benefit |
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Form 253
| 253-Reporting an Employee's Work Record In the Event of Death |
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Form 276
| 276-Designating Beneficiary(ies) for the Separate Insurance Benefit Plan for Law Enforcement |
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Form 290
| 290-Choosing Income Tax Withholding Preferences - (Update Online in ORBIT) |
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Form 290401K
| 290401K-Choosing 401K Income Tax Withholding Preferences |
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Form 290457
| 290457-Choosing 457 Income Tax Withholding Preferences |
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Form 290S
| 290S-Survivor's Benefit: Choosing Income Tax Withholding Preferences |
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Form 296
| 296-Reporting Your 2023 Income To Continue Your Benefit Through the Disability Income Plan |
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Form 297
| 297-Reporting Your 2023 Income to Continue Your Disability Salary Continuation Plan Benefit |
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Form 2C
| 2C-Designating Beneficiary(ies) - (Update Online in ORBIT) |
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Form 2FR
| 2FR-Designating Beneficiary(ies) for the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form 3
| 3-Declining to Participate in the Local Governmental Employees' Retirement System |
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Form 316
| 316-Pink Sheet Refund |
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Form 319401K
| 319401K-Choosing to Transfer NC401(k) Plan Contributions for an Additional Monthly Benefit |
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Form 319457
| 319457-Choosing to Transfer NC Deferred Compensation (457) Plan Contribs for an Additional Monthly Benefit |
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Form 319LEO
| 319LEO-Choosing to Transfer NC401(k) Plan Contributions for an Additional Monthly Benefit for LEOs |
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Form 333BEN
| 333BEN-Designating Beneficiary(ies) for the Contributory Death Benefit for Retired Members |
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Form 333SAMPLE
| 333SAMPLE-Choosing the Contributory Death Benefit for Retired Members |
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Form 336
| 336-Designating Beneficiary(ies) for the Guaranteed Refund as a Retiree |
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Form 336401K
| 336401K-Designating Beneficiary(ies) for the 401K Guaranteed Refund |
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Form 336457
| 336457-Designating Beneficiary(ies) for the 457 Guaranteed Refund |
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Form 348
| 348-Requesting Leave of Absence in the Firemen's and Rescue Squad Workers' Pension Fund |
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Form 349
| 349-Purchasing Pension Fund Credit for Prior Fire or Rescue Service |
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Form 350
| 350-Enrolling in the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form 359
| 359-Transferring Accounts in the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form 398
| 398-Using A Distribution of Tax-Sheltered Savings to Purchase Retirement Credit |
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Form 4
| 4-Certification of Local Government Service |
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Form 430
| 430-Purchasing Retirement Credit for a Period of Interrupted Service Related to Parental Leave |
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Form 441
| 441-Purchasing Retirement Credit for a Period of Workers’ Compensation |
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Form 443
| 443-Purchasing Retirement Credit for State or Local Government Temporary Employment |
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Form 451
| 451-Purchasing Retirement Credit for a Period of Part-Time State or Local Government Employment |
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Form 452
| 452-Purchasing Retirement Credit for a Period of Service with a Non-Participating Local Unit |
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Form 455
| 455-Purchasing Retirement Credit for a Period of Out-of-State Employment |
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Form 461
| 461-Purchasing Retirement System Credit for Withdrawn Service |
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Form 462
| 462-Purchasing Retirement System Credit for Military Service |
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Form 463
| 463-Purchasing Retirement Credit for a Period of Interrupted Service for Educational Purposes |
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Form 463F
| 463F-Requesting Continuation of Contributions and Credit for Planned Educational Leave |
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Form 466
| 466-Purchasing Retirement System Credit for Unreported Service Omitted Through Error |
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Form 467
| 467-Purchasing Retirement System Credit for a Period of Federal Service |
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Form 470
| 470-Purchasing Retirement Credit for a Waiting Period Imposed by a Local Unit |
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Form 478
| 478-Purchasing Retirement System Credit for Withdrawn Optional Retirement Program Service |
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Form 485
| 485-Purchasing Retirement Credit for a Period of Interrupted Service Due to Extended Illness |
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Form 499
| 499-Purchasing Retirement Credit for a Period of Service with a Non-Participating Charter School |
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Form 5
| 5-Withdrawing Your Retirement Service Credit and Contributions |
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Form 5FR
| 5FR-Withdrawing Contributions from the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form 5TR
| 5TR-Transferring Service and Contributions Between Systems |
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Form 6
| 6-Claiming Your Retirement Benefit |
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Form 641
| 641-Public School Unit Certification |
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Form 6C
| 6C-Reporting an Employee's Work Record for Retirement |
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Form 6ERSAMPLE
| 6ERSAMPLE-Authorizing Your New Spouse As Beneficiary |
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Form 6ESAMPLE
| 6ESAMPLE-Sample 6E Choosing Your Retirement Payment Option |
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Form 6FR
| 6FR-Retiring from the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form 6SABSAMPLE
| 6SABSAMPLE-Choosing the Survivor's Alternate Benefit |
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Form 7
| 7-Requesting Disability Retirement Benefits |
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Form 700
| 700-Required Employer Information |
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Form 701
| 701-Requesting the Short-Term of Benefits through the Disability Income Plan of North Carolina |
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Form 703
| 703-Medical Report for Eligibility Review of Short-Term Disability Benefits |
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Form 704
| 704-Requesting Additional Benefits through the Disability Income Plan of North Carolina |
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Form 705
| 705-Agreeing to Accept Long-Term Benefits through the Disability Income Plan of N.C. |
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Form 706
| 706-Confirming an Employee's Resignation |
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Form 707
| 707-Reporting Earnings Monthly While Receiving Extended Short-Term or Long-Term Benefits |
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Form 710
| 710-Employer's Worksheet for Determining the Waiting Period Before the Short Term Begins |
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Form 711
| 711-Determining the Maximum Monthly Benefit During the Short Term |
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Form 712
| 712-(Optional) Determining the Affect of Other Benefits on the Short-Term Benefit |
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Form 713
| 713-(Optional) Determining the Short-Term Benefit for Partial and Special Months |
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Form 714
| 714-Employer's Payment Record, Reimbursement Calculation, and Service Credit Report |
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Form 717
| 717-Employer Bank Change Request Form |
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Form 7A
| 7A-Medical Report for Disability Eligibility Review |
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Form 7AR
| 7AR-Medical Report for Re-exam |
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Form 7E
| 7E-Choosing Your Disability Retirement Payment Option |
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Form 7FR
| 7FR-Requesting Disability Status from the Firefighters' and Rescue Squad Workers' Pension Fund |
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Form ACCTMIDAFF
| ACCTMIDAFF-Affidavit of Identity |
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Form COA
| COA-Updating Your Addresses or Name |
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Form CONCHG
| CONCHG-Employer Contact Update Request |
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Form DB228
| DB228-Choosing Tax Treatment for a Payment of Undistributed Contributions Due to a Death |
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Form ERRWK
| ERRWK-Correcting an Employee's Payroll Record |
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Form ESRR
| ESRR-Re-Employment Worksheet for Retirees Returning to Work |
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Form HMONLINE
| HMONLINE-Instructions for Changing Retiree Health Coverage Through the State Health Plan Online |
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Form MR
| MR-Authorizing the Release of Medical Records |
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Form ORP
| ORP-Certifying Optional Retirement Program (ORP) Service Credit Under TSERS Reciprocity Provisions |
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Form SUP
| SUP-The Supplemental Retirement Plans |
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Form SVC
| SVC-Reviewing Your Service Record and Requesting an Audit of Your Service Credit |