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If you received a letter about the information security incident at PBI, visit varetire.org/pbi-incident to learn more.
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 call or email to alert VRS of its pending arrival. VRS does not accept forms via email, which is not a secure form of communication.
Note VRS does not accept forms via email, which is not a secure form of communication.
Form # | Title/Description | Last Updated | Download/Link |
---|---|---|---|
- | Approved Domestic Relations Orders - Defined Benefit Plan | 10-2022 | |
- | Approved Domestic Relations Orders - Defined Contribution Account(s) | 10-2022 | |
ALL |
Securian Financial/VRS Life Insurance Forms
VRS-31, VRS-32, VRS-35, VRS-37, VRS-38, VRS-39, VRS-39A, VRS-39R and VRS Certificate of Life Insurance. |
N/A | |
A10601 | State Health Benefits Program Enrollment Form For Retirees, Survivors And LTD Participants | 03-2022 | |
VRS-2 |
Designation of Beneficiary
VRS members and retirees now update beneficiaries online through their secure myVRS account. |
01-2022 | |
VRS-7ORP | Notice of Return to Covered Employment Optional Retirement Plan Retiree | 11-2012 | |
VRS-15 | Request for Income Tax Withholding | 08-2022 | |
VRS-45 |
Request for Health Insurance Credit
Retirees can update health insurance policy information online through myVRS. |
02-2023 | |
VRS-57 |
Authorization for Direct Deposit of Monthly Benefit
Retirees can update direct deposit information online through myVRS. |
06-2021 | |
VRS-58 |
Name and Address Declaration
Just changing your address? Make the update using myVRS for quicker processing. |
07-2021 | |
VRS-160 | Certification of Eligibility for Critical Shortage Teachers and Administrators | 07-2023 | |
VRS-160C | Certification of Eligibility for Retiree School Security Officers | 07-2023 | |
VRS-160D | Certification of Eligibility for Critical Shortage Bus Drivers | 07-2023 | |
VRS-160S | Certification of Eligibility for Critical Shortage Specialized Student Support Positions | 07-2023 | |
VRS-900 | Authorization to Discuss VRS Account Information | 02-2011 | |
VRS-901 | VRS Durable Power of Attorney | 01-2021 |
VRS delivers retirement and other benefits to Virginia public employees through sound financial stewardship and superior customer service.