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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Name and SSN at the top of the form. This information is essential for identification purposes.
- In Section I, if you have never been a member of a State of Florida administered retirement plan, simply check the box and provide your signature and date.
- If you are a current or previous member, complete Section II by selecting your applicable retirement plan from the list provided.
- Proceed to Section III if you are not retired. Read through the statements carefully and sign and date where indicated.
- If you are retired, fill out Section IV with your retirement effective date and ensure you understand the implications of reemployment as outlined in this section.
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