The Retirement Systems Division now has an online retirement application. As with paper applications, we need a contact within your agency to verify your employees' information at retirement. Please provide contact information for  that person below. A general email account that is monitored by multiple people and will not change is best for this purpose.  If that's not available for your agency, please provide contact information for a second contact in case the first contact is unavailable when one of your employees retires.

If you do not know your agency number, contact your payroll staff or email OER@nctreasurer.com.

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* Agency No.

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* First Name

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* Last Name

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* Agency

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* Division (if applicable)

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* Position Title

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* Work Email Address

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* Address Line 1

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* Address Line 2

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* City

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* State

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* ZIP Code

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* Phone Number

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* Fax Number

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* 2nd Contact First Name

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* 2nd Contact Last Name

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* 2nd Contact Agency

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* 2nd Contact Division (if applicable)

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* 2nd Contact Position Title

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* 2nd Contact Work Email

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* 2nd Contact Address Line 1

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* 2nd Contact Address Line 2

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* 2nd Contact City

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* 2nd Contact State

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* 2nd Contact ZIP Code

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* 2nd Contact Phone Number

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* 2nd Contact Fax Number

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* Should both contacts be emailed for employee retirement verification?

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