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Gwinnett County Public Schools

Forms

Forms

Active Employee GRS Forms
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.

Active Retiree GRS Forms
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) 678.301.6269 or (L-Z) 678.301.6267 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.
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.
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.

Beneficiary Payee GRS Forms
These forms are used by eligible GRS beneficiaries.
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.
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.
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.

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.
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.
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.
GRS Beneficiary Designation Form
This form allows you to designate or make changes to your GRS beneficiary (ies).

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