active members

Membership in the Saugus Contributory Retirement System is mandatory for permanent employees of the Town of Saugus (excluding Teachers and School Administration) and Saugus Housing Authority that regularly work a minimum of 20 hours per week. The Saugus Retirement Board staff are available to answer any questions regarding your benefits.

FORMS

Beneficiary

Change of Address

Notice of Change of Address

Disability Retirement

Member Forms

Employer Forms
- Employer’s Statement Pertaining to a Member’s Application for Disability Retirement
- Involuntary Retirement Application

Guides

Disability Guides

Retirement Guide for Members Prior to 4/2/2012

Retirement Guide for Members on or After 4/2/2012

Survivor Benefits for Members Prior to 4/2/2012

Survivor Benefits for Members on or After 4/2/2012

New Hire Enrollment

Enrollment Packet

Percentage Charts

Membership on or Before 4/2/2012

Membership on or After 4/2/2012

Purchase Creditable Service

Notice of Potential Veteran Benefits

Pre-Tax Rollover Acknowledgement Form

SOCIAL SECURITY INFORMATION

Superannuation Retirement

*Must complete/select ALL forms

Employee written Letter of Intent to Retire

Application for Voluntary Superannuation

Direct Deposit Form (*is available from Retirement office)

Federal Tax Withholding W4-P Form

Marital Status Affidavit

Option Selection Form

Shift Substitution Employer’s Certification

State List for Taxation

Authorization for Deduction of Insurance Benefit Premiums

Salary Adjustment Due to Notification of Separation

Retirement Process and Checklist

Survivors

Affidavit by Spouse Seeking Member Survivor Benefits

Withdrawal

*Must complete/select ALL forms

Application for Withdrawal of Accumulated Total Deductions

Marital Status Affidavit Refund Application

Refund Instructions