TR-0020 (Rev. 08/06)
TENNESSEE CONSOLIDATED RETIREMENT SYSTEM
502 DEADERICK STREET
NASHVILLE, TENNESSEE 37243-0201
This is your application for service or early retirement. Please read all directions carefully before completing the attached form.
When to File an Application for Retirement
Your application for retirement should be forwarded to TCRS 60 to 90 days prior to your last paid day of service. The last paid day of service
is either your last day of employment or the last day for which you are paid annual and/or sick leave. Your application cannot be filed more
than 150 days prior to your last paid day of service.
The appropriate form for continuation of medical insurance should accompany your retirement application. Refer to State of Tennessee
Group Insurance handbooks for eligibility requirements for continuation of insurance. You may also call the TCRS Insurance
Section at 1-877-681-0155.
Part I - Directions for Completing
A. Please type or print (in black ink) all information.
B. Complete all requested information for Sections 1-8a. In Section 8, the date terminated is the last working day (including all annual
and/or sick days) for which you are paid. The effective date of retirement is the day immediately following the last paid day, or the first
day of eligibility for benefits. Payment will be made retroactive to your date of retirement provided that no benefit may become
effective more than 150 days prior to receipt of the application in our office.
C. Section 9 explains the benefit plans available. You must select one benefit plan. If you choose the Social Security Leveling Plan, an
estimate from the Social Security Administration of your social security benefits payable at age 62 must accompany your retirement
application. This estimate should not be dated more than one year prior to filing your retirement application. Forms to obtain the
proper type of social security estimate may be obtained from this office, or you may call Social Security Administra