This website is best viewed with Javascript. Learn more about enabling Javascript.

VRS Logo Thursday, September 19, 2019

Counseling Center
1111 East Main Street
Richmond, VA 23219
8:30 a.m.–4:00 p.m.
Map & Directions
graphic: contact us Contact Us

Administrative Offices
1200 East Main Street
Richmond, VA 23219

Connect with VRS
facebook icon linked-in icon

 > 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 Retirement Forms
Form #DescriptionLast
ALL Hybrid Forms for Members opens web page
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-3ORP Request for Transfer of Funds to ORP 07/2019 opens pdf 320kb
VRS-5 Application for Service Retirement 08/2019 opens pdf 502kb
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-7ORP Notice of Return to Covered Employment Optional Retirement Plan Retiree 11/2012 opens pdf 217kb
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
VRS-65D Termination Certification Form- Optional Retirement Plan for Higher Education 01/2017 opens pdf 303kb
VRS-65E Termination Certification Form - Optional Retirement Plan for Political Appointees 01/2017 opens pdf 236kb
VRS-71B Termination Certification Form - Optional Retirement Plan for School Superintendents 01/2017 opens pdf 303kb
Back to top
View VRS Expenses Level A conformance icon, W3C-WAI Web Content Accessibility Guidelines 1.0
Translate (Disclaimer)