Forms

Members

Application to purchase Military Service - Download
For veterans to purchase military time, not to exceed 4 years.
Change of Address Form - Download
Lump-Sum Payment if Member Dies Before Retirement - Download
This form is used to select a primary Lump-Sum payment beneficiary. Multiple beneficiaries and contingent beneficiaries may be listed.
New Member Enrollment Form - Download
Application for membership in the Cambridge Retirement System
Option D Form - Contingent Beneficiary - Download
This form is used to select a contingent Option D beneficiary. Benefits will be paid out if your primary beneficiary cannot be granted a benefit. Only one person may be listed.
Option D Form - Primary Beneficiary - Download
This form is used to select a primary Option D beneficiary, which provides a lifetime benefit to a beneficiary if a member dies prior to retirement. Only one person may be listed.
Refund Application - Download
This form is used for members to request a withdrawal or rollover of their account after leaving employment with the City of Cambridge. Please review the instructions carefully prior to completing the form. You are always welcome to call or come to the office with any questions regarding this process.

Retirees

Beneficiary Change Form (Option B) - Download
Retirees who selected Option B should use this form to change the named beneficiary.
Option Selection Form - Download
Choice of option A, B or C, at retirement.
Superannuation Retirement Application - Download
Use this form to apply for a retirement benefit.
W4P Form - Download
Use this form to adjust your Federal Tax withholding for 2024.

Disability

Member's Application for Disability Retirement - Link
Physician Statement Pertaining to a Member's Application for Disability Retirement - Link