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PRINTABLE FORMS

 ACTIVE EMPLOYEES ONLY:

 RETIREES ONLY:
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Application to purchase 

   Other Governmental Service (OGS)

 hyperlink button Electronic Deposit Form
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Prior OGS Employment History Form 

   for Previous Employer(s)

 hyperlink button W-4P Federal Tax Withholding Form
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Application to purchase Military Service
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Application to purchase 

   Prior County Refunded Time
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Change Beneficiary Form

   (less than 15 years of service)
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Change Beneficiary Form

   (more than 15 years of service)
hyperlink button    Refund Forms


 

 

Contact Information

Call or email Debra Tocarchick, Retirement Services Administrator, with any questions you may have.

Telephone
810-257-2626 or 1-800-949-2627
FAX
810-768-7097
Postal address
1101 Beach Street 3rd Floor
          Flint, MI  48502
Electronic mail
General Information: dtocarchick@co.genesee.mi.us

NOTE:  Nothing contained in this retirement web site is intended, or shall be construed, as in any way creating or establishing any right or entitlement, for any purpose or in any manner whatsoever, for the applicant, until approved by the actuary for the Retirement Commission.