INSTRUCTIONS: ARIZONA APPLICATION TO PURCHASE ACTIVE MILITARY SERVICE (Form 18)

A member of the Arizona Elected Officials' Retirement Plan who has at least ten years of service within the plan may receive credited service for active military service prior to the employee's current employment. This is done by filing a form 18. This document can be obtained from the website maintained by the Elected Officials' Retirement Plan of the State of Arizona.

Arizona Application To Purchase Active Military Service 18 Step 1: Enter your name on the first line.

Arizona Application To Purchase Active Military Service 18 Step 2: Enter your Social Security number on the second line.

Arizona Application To Purchase Active Military Service 18 Step 3: Enter your address on the third line.

Arizona Application To Purchase Active Military Service 18 Step 4: Enter your telephone number on the fourth line.

Arizona Application To Purchase Active Military Service 18 Step 5: Enter your email address on the fifth line.

Arizona Application To Purchase Active Military Service 18 Step 6: Enter your birthdate on the sixth line.

Arizona Application To Purchase Active Military Service 18 Step 7: Enter your current employer on the seventh line.

Arizona Application To Purchase Active Military Service 18 Step 8: Enter your membership date on the eighth line.

Arizona Application To Purchase Active Military Service 18 Step 9: Enter your current position or classification on the ninth line.

Arizona Application To Purchase Active Military Service 18 Step 10: On the tenth line, enter the number of months you wish to purchase. Alternately, enter the dollar amount you wish to purchase on the eleventh line.

Arizona Application To Purchase Active Military Service 18 Step 11: Enter your branch of military service on the twelfth line.

Arizona Application To Purchase Active Military Service 18 Step 12: Check the first box to indicate that you have attached a copy of your military service record.

Arizona Application To Purchase Active Military Service 18 Step 13: Check the second box to indicate you have attached a copy of your military discharge certificate. If not, explain why.

Arizona Application To Purchase Active Military Service 18 Step 14: Initial the next three lines.

Arizona Application To Purchase Active Military Service 18 Step 15: Sign and date the bottom of the page.