Transcription of Application for Service or Early Retirement Benefits
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Application for Service or Early Retirement Benefits
TR-0020 (Rev. 04/17) RDA-413 Page 1 of 7 Application forService or EarlyRetirement BenefitsTennessee Consolidated Retirement System502 Deaderick StreetNashville, tennessee 37243-0201 1-800-922-7772 w NOT complete this form if you are applying for disability Retirement Benefits . Refer to pages 6 and 7 for detailed instructions. Do not sign this form until it is notarized (see Section 6). SECTION 1. MEMBER INFORMATION (Completed by the Applicant.)Member ID Last 4 SSN XXX-XX- Date of BirthFull NameMailing AddressCity State Zip CodeEmail Phone NumberLast Employer (Department of Institution Name)Title of Position Date Employment TerminatedDate of Retirement q 55th Birthdayq60th BirthdayqDay After Last Paid DayqOtherWhen to File an Application for RetirementYour Application for Retirement should be forwarded to TCRS 60 to 90 days prior to your last paid day of Service .
0020 e 0 17 Page 1 of 7 RDA413 Application for Service or Early Retirement Benefits Tennessee Consolidated Retirement System 502 Deaderick Street
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