Alert – February 8, 2016: Please be advised that recently mailed pension deposit statements for January are incorrect. The correct January 2016 pension statements are being reprinted and mailed by the end of this week. We apologize for any confusion and inconvenience this has caused.
These are the most commonly used and requested forms for retirees. If you do not find what you need in this list, please contact the Benefits Customer Service Team via email or at 703-228-3500, Option 1.
- Arlington Retirement System Refund Packet
- Change of Address and Name
- Life Insurance Beneficiary Designation-AETNA
- Direct Deposit Form
- Policy on Returning to County Sponsored Health Plan
- Tax Withholding Notice-Federal and State
- HIPAA Notice of Privacy Practices
- Aetna Discount Vision Card 2015
- Designation of Beneficiary Form for Monthly Pension
- Winter 2015 (February 2015)
- Spring 2015 Open Enrollment (May 2015)
- Fall 2015 – Medicare Plan Changes (Nov 2015)