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Medford Contributory Retirement System
Medford Contributory Retirement System
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Forms and Applications

Forms, Permits, and Applications Table
Title Attachments Submit Online
Address Change Form
  • PDF icon Address Change Form
Authorization for Deduction of Insurance Benefit Premiums
  • PDF icon Authorization for Deduction of Insurance Benefit Premiums
Beneficiary Selection Form - Option D
  • PDF icon Beneficiary Selection Form - Option D
Beneficiary Selection Form - Refund of Accumulated Deductions
  • PDF icon Beneficiary Selection Form - Refund of Accumulated Deductions
Enrollment Application (Complete)
  • PDF icon Enrollment Packet
Federal Tax Withholding Application
  • PDF icon Federal Tax Withholding Application
Superannuation Retirement Application
  • PDF icon Superannuation Retirement Application
Withdrawal of Accumulated Deductions Application
  • PDF icon Withdrawal of Accumulated Deductions Application
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85 George P. Hassett Drive | Medford, MA 02155 | (781) 393-2521

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