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Des Plaines Police Pension Fund

Home
About
The Board
Contact
Meetings
Dates
Agendas
Minutes
Resources
Rules and Regulations
Forms
Helpful Links
Membership
Member List
In Memoriam
Retirement Information

FORMS

  • Resources
  • Rules and Regulations
  • Forms
  • Helpful Links

 

Use the links to below to download important pension membership forms.

 

forms

  • Official Ballot
  • Application for Retirement/Disability Pension
  • Subpoena/Subpoena Duces Tecum (Original & Duplicate)
  • Notice of Special Election for Trustee
  • Statement of Candidacy
  • Application for Membership
  • Service Credit Form
  • Application for Surviving Spouse Pension
  • Application for Refund of Pension
  • Authorization of Release of Medical Records
  • Physician's Certificate of Disability
  • Request for Hearing/Miscellaneous Issue
  • Request for Transfer of Service Credit
  • Application for Refund of Pension - Election Regarding Plan Payments Contribution Refund
  • Request for Report of Contribution History
  • Request for Certified Statement of Accumulated Contributions, Accrued Benefits and Other Interests
  • Consent to Issuance of a QILDRO
  • Statement of Financial Interest in Response to QILDRO for Payment of a Percentage of a Retirement Benefit to Alternate Payee (Before)
  • Statement of Financial Interest in Response to QILDRO for Payment of a Percentage of a Retirement Benefit to Alternate Payee (After)
  • Consent of Alternate Payee to Retirement Benefit Election that Diminishes Payment to Alternate Payee
  • Qualified Illinois Domestic Relations Order
  • QILDRO Calculation Court Order
  • Annual Affidavit of Continued Eligibility
  • Change in Benefit Information Request Form
  • Electronic Attendance Request
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