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CREDIT PURCHASING FORMS
Return To Retirement Systems Division Forms.
To purchase additional retirement credit, you may need a form for…
Form no.
Form Description
Form 349
349-Purchasing Pension Fund Credit for Prior Fire or Rescue Service
Form 398
398-Using A Distribution of Tax-Sheltered Savings to Purchase Retirement Credit
Form 430
430-Purchasing Retirement Credit for a Period of Interrupted Service Related to Parental Leave
Form 441
441-Purchasing Retirement Credit for a Period of Workers’ Compensation
Form 443
443-Purchasing Retirement Credit for State or Local Government Temporary Employment
Form 451
451-Purchasing Retirement Credit for a Period of Part-Time State or Local Government Employment
Form 452
452-Purchasing Retirement Credit for a Period of Service with a Non-Participating Local Unit
Form 455
455-Purchasing Retirement Credit for a Period of Out-of-State Employment
Form 461
461-Purchasing Retirement System Credit for Withdrawn Service
Form 462
462-Purchasing Retirement System Credit for Military Service
Form 463
463-Purchasing Retirement Credit for a Period of Interrupted Service for Educational Purposes
Form 463F
463F-Requesting Continuation of Contributions and Credit for Planned Educational Leave
Form 466
466-Purchasing Retirement System Credit for Unreported Service Omitted Through Error
Form 467
467-Purchasing Retirement System Credit for a Period of Federal Service
Form 470
470-Purchasing Retirement Credit for a Waiting Period Imposed by a Local Unit
Form 478
478-Purchasing Retirement System Credit for Withdrawn Optional Retirement Program Service
Form 485
485-Purchasing Retirement Credit for a Period of Interrupted Service Due to Extended Illness
Form 499
499-Purchasing Retirement Credit for a Period of Service with a Non-Participating Charter School