The following forms are used for special requests and verifications. You should complete the appropriate form below and mail, email, or fax it to the DCRB Member Services Center.
- Application for Deferred Retirement Annuity - Police/Fire [PDF]
- Authorization for Release of Confidential Information [PDF]
- Calculation Request Form Police/Fire [PDF]
- Claim for Unpaid Survivor Annuity Payment [PDF]
- Contribution Balance Request Form [PDF]
- Disability Annual Earned Income Report [PDF]
- Durable Power of Attorney [PDF]
- Periodic Certification of Full-Time School Attendance [PDF]
- Reconsideration of DCRB’s Decision Earned Income Review [PDF]
- Request for Information from Retirement File [PDF]
- Verification of Receipt of Annuity Payment [PDF]
If you have further questions, please contact DCRB Member Services at the number below or call the Member Services toll-free number at 1(866) 456-3272.