Please complete the form(s) and send signed originals to the Retirement Office. Forms will be processed as soon as administratively possible. (All forms are in PDF format)
All forms should be sent to:
Knox County Retirement & Pension Board
City-County Building, Room 371
400 Main Street
Knoxville, TN 37902
Phone: (865) 215-2323
Fax: (865) 215-2421
Asset Accumulation Plan ["New Plan"]
- Application for Rollover to Knox County
- Beneficiary Change Form
- Distribution/ Rollover
Defined Benefit Plan["Old Plan"]
- Beneficiary Change Form
Life Insurance
- Enrollment/Change Form
Medical Expense Retirement Plan
- Enrollment and Change Form
- Payment Election Form for Retired Participants
- Payment Election Form for Terminated Participants
(Pre-retirement)
Uniformed Officers Pension Plan
- Beneficiary Change Form
Voluntary 457 Plan
- Enrollment/Change Form
- Stop Form