Hampshire County Retirement System


Hampshire County Retirement System
  • Home
  • About
    • Board Meetings
    • Employer Units
    • Financial Reports
    • Legislative History
    • Meet the Board
    • System’s Assets and Funding
  • Active
    • Benefit Guides
    • Estimate of Potential Benefits
    • Member Eligibility
    • Membership Rules
    • Regular Compensation
    • Creditable Service
    • Death Before Retirement
    • Group Classifications
    • Member Contributions
    • Member Forms
    • Purchasing Prior Service
    • Ready to Retire
    • Separation from Service
    • Social Security and You
  • RETIRED
    • Annual Cost of Living (COLA)
    • Benefit Payment Schedule
    • Post-Retirement Earnings
    • Reporting Death
    • Retiree Forms
    • Retiree Health Insurance
    • Social Security & You
    • Taxes and You
  • Employers
    • Advisory Council
    • Employer Forms
    • Financial Reports
    • Membership Regs
  • Resources
    • Our Calendar
    • Our News
    • Our PDF Files
    • Additional Resources
  • FAQ
    • Public Records Access
    • Active Members
    • Retired Members
    • Employers
    • General FAQ
  • Contact

Member Forms

Active Member Forms

  •    Beneficiary Selection Form for Refund of Accumulated Deductions if Member Dies before Retirement 022020.pdf
  •    Beneficiary Selection Form Option D If Member Dies Before Retirement 022020.pdf
  •    Member Change of Name or Address.pdf
  •    Statement Concerning Employment Not Covered by Social Security.pdf

Inactive Member Forms & Notices

  •    Application for Withdrawal of Accumulated Deductions 022020.pdf
  •    Pre-tax Rollover Acknowledgement Form.pdf
  •    Special Tax Notice Regarding Rollover Options 022020.pdf

Search the site:

Benefit Guides
Creditable Service
Death Before Retirement
Estimate of Potential Benefits
Group Classifications
Member Contributions
Member Eligibility
Member Forms
Membership Rules
Purchasing Prior Service
Ready to Retire
Regular Compensation
Separation from Service
Social Security and You

Hampshire County
Retirement System

99 Industrial Drive
Northampton, MA 01060

413-584-9100

413-587-9396 (fax)

Email Us

Directions

Calendar of Events

Patriot's Day
Mon, Apr 19, All Day
Office Closed

Benefit Payment Credited
Fri, Apr 30, All Day

Go to Calendar...

Latest News

Governor’s State of Emergency extended to 2021
Waiver of Post Retirement Earnings for Superannuation Retirees continues; Disability Retirees not included in waiver
posted Thu, Dec 31, 2020

Office Remains Closed to Public
Office is fully staffed and functioning normally. Drop off of paperwork is available. Counseling continues via phone or zoom
posted Tue, Dec 08, 2020

Delay due to COVID-19 - Annual Verification Submissions
Submission of Annual Verification Forms will be delayed until Office reopens to public
posted Tue, Aug 18, 2020

Office Temporarily Closed to Public until further notice
Staff available by phone/email/regular mail
posted Mon, Mar 16, 2020

© 2021 Hampshire County Retirement System | Software by Montague WebWorks | Powered by RocketFusion
Login