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VRS Logo Thursday, September 19, 2019

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

All forms are fillable and ready for download and printing. VRS accepts all forms by mail or fax. Fax to: 804-786-9718. If on deadline when faxing a form, please contact VRS to alert us of its pending arrival.

Note: VRS does not accept forms via email, which is not a secure form of communication.

member Disability Retirement Forms
Form #DescriptionLast
Updated
Download
VRS-2 Designation of Beneficiary
To designate more than 3 beneficiaries, a continuation form, the VRS-2A, is also required.
09/2019 opens pdf 180kb
VRS-2A Designation of Beneficiary - Continuation 09/2019 opens pdf 148kb
VRS-6 Application for Disability Retirement 04/2019 opens pdf 557kb
VRS-6A Explanation of Disability 01/2019 opens pdf 321kb
VRS-6B Physician's Report 01/2019 opens pdf 344kb
VRS-6C Request for Estimate of Disability Retirement Benefits 02/2011 opens pdf 33kb
VRS-6D Employer Information for Disability Application 04/2019 opens pdf 26kb
VRS-15 Request for Income Tax Withholding 10/2018 opens pdf 114kb
VRS-57 Authorization for Direct Deposit of Monthly Benefit 08/2019 opens pdf 199kb
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