Retiree Forms, Information, & Questions

2024 Pay Dates

Federal Form W-4P

Federal W-4P Form 

State Form W-4P

State W-4P Form

Direct Deposit Authorization Form

Direct Deposit Authorization Form

Retiree Health Insurance, Dental Insurance, and Sick Leave Bank

For retiree health insurance, dental insurance, and sick leave bank information and questions, please contact:     

Where to Submit Forms for Questions or Information

Please use the contact information below to submit the above forms. You are also welcome to reach out to the contacts below with questions about POR or for information about starting the retirement process.