Member Forms
* For retirement calculations, contact the Lauterbach & Amen Benefits Hotline Toll-Free at (866) 952-6329 or by email at benefits@lauterbachamen.com
Active Member Forms
New Hire Application to the Fund
Fire Service Reciprocity Application
Military Service Buyback Calculation Request
Military Service Buyback Application
Refund of Contributions Request
Applications for Retirement
Application for Retirement Pension
Application for Duty Disability
Application for Non-Duty Disability
Retiree Forms
Disability Conversion to Service Pension
Annual Affidavit of Eligibility
HE FF Pension Fund Application for Survivor's Benefits
L&A Application for Survivor's Benefits (Tier 1)
Pension Benefit - Address Change Form
W-4P Withholding Certificate for Periodic Pension or Annuity Payments
Trustee Forms