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pension forms

   
 

All files on this page require Adobe Acrobat to view and print

   
 

The Refund of Contribution application posted here is provided so that you may preview a copy of the forms that are required in order to withdraw pension contributions upon termination of employment. These sample forms are not official forms of the City Employees’ Pension Fund. The forms found on this site are “specimen” forms, and are for informational purposes only. The application should be completed in the Pension Administration Office, and a pension administration staff member witnesses your signature. Please contact the Pension Administration Office to schedule an appointment to complete an application, or to make other arrangements if you are not able to come into the office.

 

 

 

Sample Refund of Contribution Application

 

   

 
 

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