COVID-19 Response: VRS is committed to serving you and continuing business operations during this challenging time. Latest Updates
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||Link|
|N/A||Approved Domestic Relations Orders - Defined Benefit Plan||08/2019||Download|
|N/A||Approved Domestic Relations Orders - Defined Contribution Account(s)||08/2019||Download|
|ALL||Securian Financial/VRS Life Insurance Forms:
VRS-31, VRS-32, VRS-35, VRS-37, VRS-38, VRS-39, VRS-39A, VRS-39R and
VRS Certificate of Life Insurance.
|T-20879||State Health Benefits Program Enrollment Form For Retirees, Survivors And LTD Participants||03/2019||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||02/2020||Download|
|VRS-7ORP||Notice of Return to Covered Employment Optional Retirement Plan Retiree||11/2012||Download|
|VRS-15||Request for Income Tax Withholding||10/2018||Download|
|VRS-45||Request for Health Insurance Credit
Retired participants who do not have premiums deducted from their VRS monthly benefit must complete this form.
|VRS-57||Authorization for Direct Deposit of Monthly Benefit||08/2019||Download|
|VRS-58||Name and Address Declaration For Retirees||03/2013||Download|
|VRS-160||Certification of Eligibility for Critical Shortage Teachers and Administrators||07/2020||Download|
|VRS-900||Authorization to Discuss VRS Account Information||02/2011||Download|
|VRS-901||VRS Durable Power of Attorney||10/2019||Download|