Click on the links below for to open a PDF format copy of these important forms.
To download each form, right click on any link and save the document.
Application for MembershipThis is used for new officers to register their participation in the Skokie Police Pension Fund.
Application for RetirementThis is used to apply for your pension. Note that Disability Pension Applicants must also file the Application for Disability Pension Benefits).
Application for Disability BenefitsThis is used for both duty and non-duty related disability applicants.
HIPAA Release for PhysiciansThis form may be needed by a physician to release disability information to the Pension Fund.
Physician's CertificateThis form is completed by physician's regarding an applicant's disability status.
Application for Withdrawal from ParticipationThis is used if you are leaving the Skokie Police Department and are not eligible or do not wish to apply for a pension benefit.
Request for Transfer of Creditable ServiceUse this form to request transfer of service from another fund to the Skokie Police Pension Fund.