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 ApplicationDownload
    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 2022. Due to significant changes to the withholding process, the IRS is allowing retirees to continue filing the 2021 version of this form until January 2023.

Disability

  • Member’s Application for Disability Retirement – Link
  • Physician Statement Pertaining to a Member’s Application for Disability Retirement – Link

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