Active Member Forms

• Membership Application – to be completed by each newly elected/appointed Sheriff.

• Life Insurance Beneficiary – for designation of beneficiaries for the Life Insurance Provided for Active Members.

• Address or Other Information Change Form – to notify the Sheriffs’ Retirement System of changes to the information on file for the member.

• Application for Retirement Benefits – to be completed no more than 90 days and not less than 30 days preceding retirement.

• Pension Estimate Worksheet – can be used to estimate your retirement benefit.

• Retirement Pension Description Form – provides an explanation of the various benefit options available.

• Contribution Form – to be completed by the county clerks.

• Verification Form – to be completed by the county clerks.