Download forms to your computer before completing themInteractive PDFs must be saved to your computer to work properly. To ensure proper functionality, 1) click on a form link, 2) download the PDF to your computer and 3) open the PDF using Adobe Acrobat Reader. You may encounter technical issues if you attempt to enter data in the PDF using your web browser.


Please note:

  • At this time, these forms cannot be submitted to us electronically (this is to ensure your security and because we need to have your original signature). Once you have completed your form, please print and sign it, then mail it to us at the address noted on the form.
  • If you have any difficulty accessing any of our downloadable forms, please send an email to us at Geninfo@trb.state.ma.us.
Beneficiary Designation Form--Active and Inactive Members Use this to name a beneficiary or to change your beneficiary designation. For more information, see also Survivor Benefits
Refund application Recommended process: If you leave active teaching service and wish to withdraw your funds, please walk through this step-by-step process. At the end of that process, you'll be able to download the Refund application.
Report of death of MTRS member Survivors of active members may use this form to report the death of a MTRS member. For more information, see Survivor benefits for active members

Creditable service purchase application forms

(see also Creditable service)
NOTE: To be eligible to purchase service (except Peace Corps service and refund buybacks), at the time you submit your service purchase application, you must be a member in service with the MTRS. Generally, you are a "member in service" if you are: actively teaching; receiving Workers' Compensation for total incapacity; on a sick leave; or, on an authorized unpaid leave of less than one year.
Substitute, temporary or part-time public school service in Massachusetts 
Out-of-state public school teaching service purchase application 
Other Massachusetts public service purchase application 
Prior refunded service with a Massachusetts contributory retirement system 
Nonpublic school/MA publicly-funded service purchase application 
Nonpublic school/pre-1973 service purchase application 
Chapter 71 military service application 
Peace Corps service purchase application 
US Department of Defense overseas dependent school service purchase application 
Vocational work experience service purchase application 
Request for an updated invoice for a prior service purchase 
For service purchase payments only (see Purchasing service with a direct transfer or rollover)
Direct Rollover Acknowledgement Form 
Trust-to-Trust Acknowledgement Form 
Retirement application forms
Retirement application Recommended process: When you’re ready to retire, access our online benefit estimator and review the general retirement process. At the end of that process, you’ll be able to download a retirement application. Be sure to review our Ready for Retirement videos too!
Termination retirement statement and release 
Disability retirement application If you should find yourself permanently disabled and unable to work for an extended period of time, please review the process for applying for a disability retirement benefit. For more information, see Retirement overview, factors and worksheet
Beneficiary Designation Form for Retirees and Survivors For Option A and B retirees and survivor benefit recipients ONLY. Do not use this form if you are an Option C retiree.
Change of Address Form–Retired member Use this to notify us of a temporary or permanent change in your address
Substitute Form W-4P Use this to change your federal tax withholding.
Direct Deposit Authorization Form Use this to receive your payment via direct deposit to your bank account instead of by mailed check, or to change the bank account to which your benefit payment is directly deposited. For more information, see Direct deposit information.
Report of death of MTRS member or benefit recipient Survivors of benefit recipients may use this form to report the death of a retiree or a person receiving a survivor benefit. For more information, see Report the death of a benefit recipient.
Report of death of Option C beneficiary Use this form to report the death of an Option C beneficiary. Note: you may not name a new Option C beneficiary; your monthly benefit will "pop up" to the Option A benefit amount that you would have received on the date of your retirement, plus any cost-of-living adjustments.