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This document is a request form for retirees from the Fairfax County Retirement Systems to obtain a letter stating their current monthly retirement income.
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How to fill out Fairfax County Retirement Systems Request for Retirement Income Verification

01
Obtain the Fairfax County Retirement Systems Request for Retirement Income Verification form from the official website or your retirement office.
02
Fill out your personal information at the top of the form, including your name, address, and retirement account number.
03
Indicate the purpose of the verification request in the designated section, such as for loan applications or financial assistance.
04
Provide the name and contact information for the entity requiring the verification, if applicable.
05
Sign and date the form, allowing the retirement system to release your income information.
06
Submit the completed form according to the instructions provided, which may include mailing, faxing, or emailing the request.

Who needs Fairfax County Retirement Systems Request for Retirement Income Verification?

01
Individuals applying for loans or financial assistance that require proof of retirement income.
02
Retirees seeking to verify their income for tax purposes.
03
Financial institutions needing confirmation of income for mortgage or loan applications.
04
Entities conducting financial assessments for budgeting or eligibility determinations.
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You can request one online by using your personal my Social Security account, which will allow you to immediately view, print, and save a copy of the letter. You can call us to request one at 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday from 8:00 a.m. to 7:00 p.m. local time.
Eligibility: Age 65 if the employee has 5 or more years of service and contributions remained in the system.
The Fairfax County Uniformed Retirement System was established on July 1, 1974, as a public employee retirement system providing defined benefit pension plan coverage for select public safety employees.
Cost of Living Adjustment (COLA) - July 2025 To summarize, all of you who have been retired for at least 1 year will see a 2.4% cost of living increase in your July retiree benefit payment. If you will have been retired for less than 1 year in July, your increase will be prorated. For more information, click here.
For example, business owners can provide pay stubs (if they pay themselves the salary), employed individuals can use employment verification letters (which they should request from their employer), and retirees can verify their proof of income through documents like annual pension statements, trust fund income or

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The Fairfax County Retirement Systems Request for Retirement Income Verification is a formal request process that allows individuals to verify their retirement income from the Fairfax County Retirement Systems.
Individuals receiving retirement benefits from the Fairfax County Retirement Systems, including retirees and beneficiaries, are required to file the Request for Retirement Income Verification.
To fill out the Request for Retirement Income Verification, individuals must complete the provided form with their personal information, including name, address, identification number, and the specific income details required for verification.
The purpose of the Request for Retirement Income Verification is to provide a documented and official means for retirees to confirm their retirement income for various financial purposes, such as loan applications, tax purposes, or social security benefits.
The information that must be reported includes the retiree's full name, retirement identification number, current address, and specific details about the retirement income being verified, such as monthly benefit amounts and any changes in income.
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