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Retiree GRS Forms

Title Description
GRS Data Change Form This form is used to update contact information such as your name, email address, mailing address, or phone number with the Gwinnett Retirement Services Department.
*Retiree Optional Benefit Change Form This form allows retirees to cancel/decrease optional benefits coverage.
*Please contact the GRS office at (A-K) 678.301.6267 or (L-Z) 678.301.6269
for a Retiree Optional Benefit Change Form.
Retiree Optional Benefit Qualifying Event Change Form This form allows retirees to make changes within 31 days of a "Qualifying Event."
Retiree Direct Deposit Authorization Form This form allows you to have your retirement benefits deposited directly into your checking, savings, or money market account for the appropriate pay period.
Life Insurance MetLife Basic and Supplemental Designation of Beneficiary Form This form allows you to designate or make changes to your basic and supplemental life insurance.
Life Insurance MetLife Basic $15,000 Designation of Beneficiary Form This form allows you to designate or make changes to your basic life insurance.
Life Insurance Supplemental Designation of Beneficiary Form This form allows you to designate or make changes to your supplemental life insurance.
Tax Withholding Certificates for Pension/Annuity Payments
Federal W-4P The current year Federal W-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.
Georgia G-4P The current year State of Georgia G-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.

Beneficiary Payee GRS Forms

These forms are used by eligible GRS beneficiaries.

Title Description
GRS Data Change Form This form is used to update contact information such as your name, email address, mailing address, or phone number with the Gwinnett Retirement Services Department. The completed form should be returned to the Gwinnett Retirement Services Department.
GRS Beneficiary Direct Deposit Authorization Form As a beneficiary, this form allows you to have your beneficiary benefits deposited directly into your checking, savings, or money market account each month. Please be sure to send the completed form to the attention of the Gwinnett Retirement Services Department at Gwinnett County Public Schools.
Tax Withholding Certificates for Pension/Annuity Payments
Federal W-4P

The current year Federal W-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.

Georgia G-4P The current year State of Georgia G-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.

Term Vested GRS Forms

Prior to completing these forms, please contact the Gwinnett Retirement Services Department at 678-301-6267 to confirm you are vested, are eligible for a GRS retirement benefit and understand the retirement application process that is required.
 
Title Description
GRS Data Change Form This form is used to update contact information such as your name, email address, mailing address, or phone number with the Gwinnett Retirement Services Department.
GRS Beneficiary Designation Form This form allows you to designate or make changes to your GRS beneficiary (ies).
Tax Withholding Certificates for Pension/Annuity Payments
Federal W-4P

The current year Federal W-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.

Georgia G-4P The current year State of Georgia G-4P tax form.
The completed form should be returned to the Gwinnett Retirement Services Department.

Active Employee GRS Forms

Title Description
GRS Data Change Form This form is used to update contact information such as your name, email address, mailing address, or phone number with the Gwinnett Retirement Services Department.
GRS Beneficiary Designation Form This form allows you to designate or make changes to your GRS beneficiary (ies).
Life Insurance Basic And / Or Supplemental Designation of Beneficiary Form This form allows you to designate or make changes to your basic and/or supplemental life insurance.

 

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