Click on the links below for forms if you are a member of the Statewide Defined Benefit Plan and wish to:
- name or change your beneficiary - Membership Form
- retire based on service in the Statewide Defined Benefit Plan ONLY,
- retire based on service in
BOTH the Statewide Defined Benefit Plan & the Statewide Hybrid Plan- are requesting to purchase Service Credit
or- are requesting to take an SRA distribution.
Statewide Hybrid Plan Forms
Statewide Hybrid Plan - Defined Benefit & Money Purchase Components
- name or change your beneficiary - Membership Form
Statewide Hybrid Plan - Money Purchase Component ONLY
- name or change your beneficiary - contact Fidelity directly.
Click on the links below for other forms if you are a member of the Statewide Hybrid Plan and wish to:
- retire based on service in the Statewide Hybrid Plan ONLY
- retire based on service in
BOTH the Statewide Hybrid Plan & the Statewide Defined Benefit Plan
- take distribution of the Money Purchase Component , or
- are requesting to purchase Service Credit.
(Colorado Springs Police or Firefighers hired PRIOR to October 1, 2006.
Police Component
Fire Component
Statewide
Death & Disability Plan Forms
Click on this link for Statewide Death & Disability Plan forms and if you are:
- an active member wishing to apply for disability retirement,
- a member who has received FPPA Board approval for a TAXABLE (off-duty) disability retirement and now wish to receive the funds from your SRA (separate retirement account),
- a member who has received FPPA Board approval for a NON-TAXABLE (on-duty) disability retirement and now wish to receive the funds from your SRA (separate retirement account),
- a DISABILITY RETIREE applying for a change in disability retirement status, or
- a SPOUSE or CHILD of a member who has died in active service.
Click on the links below if your department is affiliated for FPPA's 457 Deferred Compensation Plan and wish to:
- enroll in the FPPA 457 Deferred Compensation Plan or
- are terminating service and wish to apply for a distribution.
Click on the link below for information if you are a member of the Statewide Money Purchase Plan and have:
- terminated service and are applying for a distribution.