INSTRUCTIONS: ALABAMA DEFERRED RETIREMENT OPTION PLAN (DROP) PARTICIPATION PERIOD COMPLETED REQUEST FOR DROP TERMINATION (Form ERS 10 D-C)
Alabama state teacher employees enrolled in the Deferred
Retirement Option Plan (DROP) use a form ERS 10 D-C to terminate participation in this program after their participation period has been completed. This document can be obtained from the website of the Retirement Systems of Alabama.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 1: On the first blank line, enter your full name.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 2: On the second blank line, enter your
Social Security number.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 3: On the third blank line, enter your complete address.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 4: On the fourth blank line, enter your employing agency.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 5: On the fifth blank line, enter your telephone number.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 6: On the sixth blank line, enter your requested termination date.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 7: On the seventh blank line, enter your date of birth.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 8: If you do not to have
income tax withheld from your
pension or annuity, check the box on line 1 and skip to Part II. Otherwise, enter the number of allowances to be made when calculating how much to withhold on line 2. If you wish to have an additional amount withheld, enter this on line 3.
Alabama Deferred Retirement Option Plan (DROP) Participation Period Completed Request For DROP Termination ERS 10 D-C Step 9: Only complete part II if your employing agency permits conversion of sick leave days to retirement credit. Sign and date part III before a notary public, then have your employer complete part IV.