Special Forms
The following forms are used for special requests and verifications. You should complete the appropriate form below and mail, email, or fax it to the DCRB Member Services Center.
- Annual Earned Income Report [PDF]
- Authorization for Release of Confidential Information [PDF]
- Claim for Unpaid Survivor Annuity Payment [PDF]
- Durable Power of Attorney [PDF]
- Periodic Certification of Full-Time School Attendance [PDF]
- Reconsideration of DCRB's Decision [PDF]
- Request for Information from Retirement File [PDF]
- Verification of Receipt of Annuity Payment [PDF]
If you have further questions, please contact DCRB Member Services at the number below or call the Member Services toll-free number at 1(866) 456-3272.
Service Contact:
Member Services Center
Contact Email:
Contact Phone:
(202) 343-3272
Contact Fax:
(202) 566-5001
Contact TTY:
711






