Forms
Active Member Forms
- Address/Name Change
- Alternate Payee Benefit application - MPO
- Authorized Leave Notice
- Beneficiary Designation
- Benefit Handbook
- Common Law Marriage Application
- Contribution Income Verification Request
- Death Notification
- Disability Retirement Packet
- DROP Distribution Form
- DROP Enrollment & Beneficiary Form
- POR Service Credit Transfer
- Purchase Service Credit Request Form
- Refund Application
- Sample Marital Property Order (MPO)
- Service Retirement Application
Active Member Medical Protocol Forms
Fire
- Medical History Questionnaire Form (Applicant Completes)
- Occupational History Questionnaire Form (Applicant Completes)
- Medical Examination Form (Physician Completes)
- NFPA 1582 Standard On Comprehensive Occupational Medical Program for Fire Departments (Chapter 6)
- MMPI Suitability Certification Form (Psychologist Completes)
- Minnesota Multiphasic Personality Inventory-3 (MMPI-3) Firefighter Candidate Interpretive Report
- Essential Functions - Firefighter
- Protocol Summary Checklist
Police
- Medical History Questionnaire Form (Applicant Completes)
- Occupational History Questionnaire Form (Applicant Completes)
- Medical Examination Form (Physician Completes)
- ACOEM Guidance for Medical Evaluation of Law Enforcement Officers
- MMPI Suitability Certification Form (Psychologist Completes)
- Minnesota Multiphasic Personality Inventory-2 (MMPI-2)
- Minnesota Multiphasic Personality Inventory-3 (MMPI-3) Police Candidate Interpretive Report
- Essential Functions - Police Officer
- Protocol Summary Checklist