RRB Pre-Retirement Seminar
Registration Form

If you are a railroad union official, or within 5 years or less of your planned retirement and wish to attend, please provide the information requested below. Do not mail or fax an additional registration form to your local RRB field office if you register online.
Fields marked with * are required.
Title First Name*  Middle Init. Last Name* 
Address* 
Address* 
City*  State*  ZIP Code*  -
Phone Number* Email* 

If your spouse will be attending, please provide their name

To help us plan for this seminar:
Are you a railroad union official?

Are you covered by the Railroad Employees’ National Health and Welfare Plan? 

We can provide future retirement annuity estimates for you and your spouse if you have 10 years (120 months) of railroad service, or 5 years (60 months) of service after 1995. To receive an estimate at the seminar, please provide both SSN and DOB:
Your social security number
-- 		Your date of birth
/ /
Spouse social security number
-- 		Spouse date of birth
/ /

Certain documents are required when filing a railroad retirement annuity application, such as proofs of age, marriage, and military service. We encourage employees to file proofs prior to retiring in order to expedite the application process. If you have not yet submitted these items to an RRB field office, you can provide certified copies or original documents to seminar staff. Information will be recorded and stored electronically, allowing us to return proofs promptly. If possible, we ask attendees to also bring an additional copy of each item to leave behind with seminar staff.

Note:  If you are unable to attend this seminar but would still like pre-retirement information, please contact us. Employees and spouses may schedule an appointment with a field service representative for individual retirement counseling, which is provided at any RRB field office or over the phone. Call the agency toll-free (1-877-772-5772) to request an appointment.

Space is limited, please submit this form as soon as possible! If you sign up and become unable to attend, please let us know.