Forms
Note: These documents are in PDF format. The file type (PDF) and file size (KB) for each document is indicated. Please visit the Accessibility Page of this website if you require assistance.
The following documents require an original member's signature and must be returned to this office via regular mail.
The following documents require a signature and can be returned to this office by fax or regular mail.
- Health Insurance Application - January 2019
- Application for $220 Health Insurance Subsidy
- Application for Withdrawal of Member's Deposits
- Request to Purchase Service Credit
- Application for Withdrawal of Voluntary Account
- Application for Withdrawal of Supplemental and/or Voluntary (for new retirees)
- Active/Inactive Teacher Beneficiary Form
- Child Rearing Leave of Absence - Special Board Policy
- Full-Time Salaried Elected Official Service Form
- Lump Sum Voluntary Payment Form
- Newington Children's Hospital Teaching Service Form
- Non-Vested Inactive Member Withdrawal Form
- Special Rules for Absences due to Maternity (TRB Form 53M)
- Reporting the Death of a CTRB Member Form
- Reporting the Death of a CTRB Member's Spouse, Dependent or Co-Participant Form
- Request for a Duplicate IRS 1099R Tax Form
Health Insurance Forms
- Application for $220 Health Insurance Subsidy
- Health Insurance Application - January 2019
- Health Insurance Cancellation Form
- Post Retirement Reemployment 45% Rule - Employer/Employee Form
- Retirement Benefit Suspension Election Form, 2017-18
- Subject Shortage Area or Priority School District Reemployment Form