Active/Inactive Teacher Forms

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A period of extremely frigid temperatures is forecast to impact Connecticut between the afternoon of Saturday, December 21, through Tuesday, December 24. Governor Lamont is activating the state's severe cold weather protocol during this period. To locate a shelter or warming center in Connecticut, call 2-1-1 or visit 211ct.org.

Active/Inactive Teacher Forms

Effective June 29, 2020 Our New Mailing Address is:

CT Teachers' Retirement Board
165 Capitol Avenue
Hartford CT 06106-1673

Account Maintenance

Address/Name Change Form

Beneficiary Form

Reporting the Death of a CTRB Member Form

Voluntary Deductions/Cancellation Authorization Form

Applications to Collect/Rescind a Benefit

Application for a Disability Allowance

Application for Retirement Benefits (Must be postmarked by June 30th to qualify for a July 1st retirement)

Annuity Purchase using Trustee to Trustee Rollover of Tax Deferred Accounts

In Lieu of Birth Certificate Form

Revocation of Application for Disability Allowance Form

Revocation of Application for Retirement Benefits Form

Applications to Withdraw Funds

Application to Reclaim Abandoned Funds

Application for Withdrawal of Member's Deposits

Purchasing Service

Direct Rollover/Trustee to Trustee Transfer Request Form

Request to Purchase Service Credit

Service Approval Forms

Connecticut Service

Adult Education Assignments Form

Child Rearing Leave of Absence - Special Board Policy

Current Leave of Absence Form (TRB Form 53X)

Hourly Paid Certified Teachers (Tutor, CETA, Head Start, ESL) Form

Less Than Half-time CT Public School Employment Form

Part-Time Lecturer Service Form

Previous Leave of Absence Form

Prior Connecticut Teaching Service Buy Back Request Form

Special Rules for Absences due to Maternity (TRB Form 53M)

State of Connecticut Employment Teaching Form

Substitute Teaching Service Form

Non-Connecticut Service

American School at Hartford for the Deaf Teaching Service Form

Department of Defense Dependent School (DODDS) Form

Federal Teacher Corps Form

Full-Time Salaried Elected Official Service Form

New York City Department of Education Teaching Service

Newington Children's Hospital Teaching Service Form

Outside State Teaching Service Form

State Education Resource Center Teaching Service Form

State of Connecticut Employment Non-Teaching Form