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Counseling Center
1111 East Main Street
Richmond, VA 23219
8:30 a.m.–4:00 p.m.
Monday–Friday
1-888-827-3847
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Administrative Offices
1200 East Main Street
Richmond, VA 23219

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Forms

retiree Update Your Information Forms
Form #DescriptionLast
Updated
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VRS-2 Designation of Beneficiary
To designate more than 3 beneficiaries, a continuation form, the VRS-2A, is also required.
01/2014 opens pdf 180kb
VRS-2A Designation of Beneficiary - Continuation 12/2014 opens pdf 148kb
VRS-7ORP Notice of Return to Covered Employment Optional Retirement Plan Retiree 11/2012 opens pdf 217kb
VRS-15 Request for Income Tax Withholding 11/2016 opens pdf 97kb
VRS-45 Request for Health Insurance Credit
Retired participants who do not have premiums deducted from their VRS monthly benefit must complete this form.
11/2016 opens pdf 423kb
VRS-57 Authorization for Direct Deposit of Monthly Benefit 12/2017 opens pdf 222kb
VRS-58 Name and Address Declaration For Retirees 03/2013 opens pdf 252kb
VRS-76 Certification of Employment for Health Insurance Credit Eligibility
Completed only by employers certifying general registrars, local officers, employees of these referenced positions and local social service employees.
12/2014 opens pdf 273kb
VRS-900 Authorization to Discuss VRS Account Information 02/2011 opens pdf 33kb
VRS-901 VRS Durable Power of Attorney 07/2016 opens pdf 151kb
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