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Disability Annual Earned Income Report

Friday, March 4, 2022


The District of Columbia Police Officers and Firefighters’ Retirement Plan requires that disability retirement annuitants under the age of fifty (50) submit a notarized statement reporting earned income for the prior calendar year (DC Code §5-714). If the space included in the form is not sufficient to report all of your earned income sources, please submit additional pages. The deadline for submission of this report this year is May 31, 2022. If you do not file by the report’s deadline, the District of Columbia Retirement Board (DCRB) will stop your benefit payment.

Please complete and return the Form 4506-T directly to the IRS. DCRB is prohibited from requesting this information directly from the IRS on your behalf. When you receive the 4506-T requested tax return information from the IRS, please send this information directly to DCRB via mail or fax.  This form should be submitted to DCRB along with the Annual Income Report Form so that DCRB can complete the annual earned  income review process.

Please also complete the DCRB Annual Earned Income Report Form and the DCRB Affidavit of IRS Non-Filing (if applicable) attached as PDFs below, and submit them, along with the requested tax return information from the IRS, to the DCRB Member Services Center.

Do not email your forms or supporting documentation to us.

You can send the completed form and any required attachments by fax to (202) 566 -5001 or by mailing your documents to:

DC Retirement Board
Member Services Center
900 7th Street, NW, Second Floor
Washington, DC 20001

If you have further questions, please contact the DCRB Member Services Center by phone at (202) 343-3272 Monday – Friday from 8:30 am to 5:00 pm.