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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 |
---|---|---|---|
N/A | Approved Domestic Relations Orders - Defined Benefit Plan | 08-2019 | |
N/A | Approved Domestic Relations Orders - Defined Contribution Account(s) | 08-2019 | |
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 | |
T-20879 | State Health Benefits Program Enrollment Form For Retirees, Survivors And LTD Participants | 03-2020 | |
VRS-2 |
Designation of Beneficiary
To designate more than 3 beneficiaries, a continuation form, the VRS-2A, is also required. |
02-2020 | |
VRS-2A | Designation of Beneficiary - Continuation | 02-2020 | |
VRS-7ORP | Notice of Return to Covered Employment Optional Retirement Plan Retiree | 11-2012 | |
VRS-15 | Request for Income Tax Withholding | 08-2020 | |
VRS-45 |
Request for Health Insurance Credit
Retired participants who do not have premiums deducted from their VRS monthly benefit must complete this form. |
12-2020 | |
VRS-57 | Authorization for Direct Deposit of Monthly Benefit | 08-2019 | |
VRS-58 |
Name and Address Declaration for Retirees
Just changing your address? Make the update using myVRS for quicker processing. |
12-2020 | |
VRS-160 | Certification of Eligibility for Critical Shortage Teachers and Administrators | 07-2020 | |
VRS-160C | Certification of Eligibility for Retiree School Security Officers | 07-2020 | |
VRS-160D | Certification of Eligibility for Critical Shortage Bus Drivers | 07-2020 | |
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.