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
- In-Service Distribution
- Application for Rollover to Knox County
- Beneficiary Change Form
- Direct Deposit Form
- Distribution/ Rollover

Defined Benefit Plan
- Beneficiary Change Form

Life Insurance
- Enrollment/Change Form

Medical Expense Retirement Plan
- Enrollment and Change Form
- Direct Deposit
- Hardship Request
- In-Service Distribution - MERP
- Payment Election Form for Retired Participants
- Payment Election Form for Terminated Participants
(Pre-retirement)

Retiree's Only
- ACH Debit Form for Medical and Dental Insurance
- ACH Deduction Authorization
- Federal Income Tax Withholding
- Request to Cancel Medical or Dental Coverage

Uniformed Officers Pension Plan
- Beneficiary Change Form
- Pre-retirement Option Election Form

Voluntary 457 Plan
- Enrollment/Change Form
- Stop Form
- Knox County 457 Hardship Form