All forms are fillable and ready for download and printing. VRS accepts all forms by mail or fax. Fax to: 804-786-9718. If on deadline when faxing a form, please call or email to alert VRS of its pending arrival. VRS does not accept forms via email, which is not a secure form of communication.
|Form #||Description||Last Updated||Download|
|VRS-2||Designation of Beneficiary
To designate more than 3 beneficiaries, a continuation form, the VRS-2A, is also required.
|VRS-2A||Designation of Beneficiary - Continuation||12/2014|
|VRS-6||Application for Disability Retirement||01/2019|
|VRS-6A||Explanation of Disability||01/2019|
|VRS-6C||Request for Estimate of Disability Retirement Benefits||02/2011|
|VRS-6D||Employer Information for Disability Application||02/2011|
|VRS-6E||Certification of Alternate Employment for Disability Retiree for Political Subdivision Hazardous Duty Employees||08/2012|
|VRS-15||Request for Income Tax Withholding||10/2018|
|VRS-49||Change to Certification for Retirement||02/2011|
|VRS-57||Authorization for Direct Deposit of Monthly Benefit||01/2019|