Retired Teachers Forms

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Far below normal precipitation has caused a drought and increased fire danger levels. All of Connecticut is currently in a Stage 2 Drought Advisory. Residents are encouraged to be mindful of water consumption and use extra caution to prevent fires. An emergency burn ban remains in effect at all state parks, forests, and wildlife management areas, prohibiting the use of all outdoor grills, firepits, campfires, etc.

Retired Teacher Forms

Effective June 29, 2020 Our New Mailing Address is:

CT Teachers' Retirement Board
165 Capitol Avenue
Hartford CT 06106-1673
Address/Name Change Form
Application for Withdrawal of Supplemental and/or Voluntary (for new retirees)
Beneficiary Election for Disability Allowance
Certification of Residence Form
Change of Beneficiary Plan C Form
Change of Beneficiary Plan N Form
Connecticut Tax Withholding Change Form CT-W4P
Electronic Funds Transfer (EFT) Form
Federal Tax Withholding Change Form
Reporting the Death of a CTRB Member Form
Reporting the Death of a CTRB Member's Spouse, Dependent or Co-Participant Form
Request for a Duplicate IRS 1099R Tax Form

Connecticut Teachers' Retirement Board