Knox County Tennessee

Retirement Forms

Please download and complete the form(s) in Adobe Acrobat then send signed originals to the Retirement Office. Forms will be processed as soon as administratively possible. (All forms are in PDF format)

These forms are presented in Portable Document Format (PDF) and a PDF reader is required for viewing. Download a free copy of Adobe Acrobat Reader or learn more about PDFs.

Distribution forms are completed on line through

Instructions are:  Navigating Through Web Access

Distribution Options on the USI Web site are available:

  • If you are no longer employed with Knox County and contributed to the Asset Plan, 457 Plan, MERP and STAR
  • If  you are an Active employee and applying for a medical hardship through the Medical Expense Retirement Plan
  • If you are an Active employee and applying for a 457 Hardship

All other forms are listed below and can be returned to:

Knox County Retirement and Pension Board
City-County Building, Room 371
400 Main Street
Knoxville, TN  37902

Or Email to: