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CT TEACHERS RETIREMENT BOARD 765 ASYLUM AVENUE HARTFORD, CT 061052822 Toll-free 18005041102 (860) 2418400 Fax (860) 5256018 www.ct.gov/trb REVOCATION OF APPLICATION FOR A DISABILITY ALLOWANCE This
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How to fill out revocation of retirement:

01
Obtain the revocation of retirement form from the appropriate source, such as your employer or pension plan administrator.
02
Read the instructions provided on the form carefully to understand the requirements and any additional documents that may be needed.
03
Fill in your personal information accurately, including your full name, contact information, and Social Security number.
04
Indicate the specific retirement plan or program from which you are revoking your retirement.
05
Provide any necessary details about your retirement, such as the date it was initially filed or approved.
06
Include a statement explaining your reasons for revoking your retirement. Be clear and concise in your explanation.
07
Sign and date the revocation form, ensuring that your signature is legible and matches your name as written on the form.
08
Make copies of the completed revocation form for your records.
09
Submit the revocation form to the appropriate party as instructed on the form, whether it is your employer or pension plan administrator.

Who needs revocation of retirement:

01
Individuals who have previously filed for retirement but have changed their minds and wish to continue working or delay their retirement.
02
Individuals who have experienced a significant life event, such as the death of a spouse or a change in financial circumstances, that has made them reconsider their retirement plans.
03
Individuals who have discovered new opportunities or circumstances that make retirement less desirable or necessary at the current time.
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Revocation of retirement is the act of cancelling a previously submitted retirement application.
Individuals who have submitted a retirement application but wish to cancel it are required to file a revocation of retirement.
The revocation of retirement form must be completed with the individual's personal information and reason for revocation.
The purpose of revocation of retirement is to cancel a previously submitted retirement application.
The individual's personal information and reason for revocation must be reported on the revocation of retirement form.
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