Retiree Benefits Forms
Information about Benefits Forms and Supporting Documentation
Medical and Dental Forms
Medical Enrollment and Change Form:
Disability Certification for Over-age Dependent Forms:
- Aetna (must submit both forms):
- Kaiser Permanente:
- Call 301-468-6000
Aetna Dental Benefits Request Form:
Retiree Publications & Resources
Here you will find FCPS benefits-related publications, resource materials, and forms for retirees.
Here you will find information about how to make changes to your benefits due to a major life event.