Office of the State Comptroller
Retirement Services Division

Connecticut State Retiree Forms (PDF or WORD format)

• CO-1049A LIMITED DURABLE POWER OF ATTORNEY (LDPOA) FORM  -  POST RETIREMENT
• CO-1068 RETIREMENT - DIRECT DEPOSIT AUTHORIZATION AND INPUT FORM
• CO-1082 RETIREE / ANNUITANT ADDRESS CHANGE FORM
• CO-1093 FEDERAL AND CONNECTICUT TAX WITHHOLDING CHANGE FORM

Form CO-1093 (above) is to be used for making changes to your pension after you have received your first benefit check. Your initial election for withholding MUST be submitted using the federal tax form W4Pand the Connecticut tax form CT-W4P. Please click on the links below to download a copy of the W4P and CT-W4P.

 

www.irs.gov/pub/irs-pdf/fw4p.pdf

www.ct.gov/drs/lib/drs/forms/2011withholding/ct-w4p.pdf

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