Employer Website
EZLink logo  Navigator
VRS Logo Thursday, July 2, 2020
Print Page

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.

employer Disability Retirement Forms
Form #DescriptionLast UpdatedLink
VRS-2 Designation of Beneficiary
To designate more than 3 beneficiaries, a continuation form, the VRS-2A, is also required.
02/2020 Download
VRS-2A Designation of Beneficiary - Continuation 02/2020 Download
VRS-6 Application for Disability Retirement 05/2020 Download
VRS-6A Explanation of Disability 01/2019 Download
VRS-6B Physician's Report 01/2019 Download
VRS-6C Request for Estimate of Disability Retirement Benefits 02/2011 Download
VRS-6D Employer Information for Disability Application 04/2019 Download
VRS-6E Certification of Alternate Employment for Disability Retiree for Political Subdivision Hazardous Duty Employees 08/2012 Download
VRS-15 Request for Income Tax Withholding 10/2018 Download
VRS-49 Change to Certification for Retirement
This form is no longer required. Employers make certification changes directly in myVRS Navigator.
VRS-57 Authorization for Direct Deposit of Monthly Benefit 08/2019 Download

Additional Resources