Pending Retiree Change of Address Form

If you have applied for and are pending retirement, use this form
to send a change of address to the New Jersey Division of Pensions and Benefits.

If you are already retired and receive a monthly retirement check,
click here to use the Retiree Change of Address form.

Enter all information and press the "Submit" button

Technical Note: If you are unable to use this form, you can change your address by writing to the
Division of Pensions and Benefits, Retirement Section, P.O. Box 295, Trenton, NJ 08625-0295
or by calling (609) 292-MOVE (292-6683).

Name:
(First/MI/Last/Suffix)

Pension Membership Number:
(Found on your pay stub)

Social Security Number:
(last 4 digits only)

Home Phone Number:
(Include Area Code)    

E-mail Address:
 

Street:

Apt. or P.O.Box:

City:

State:

Zip Code:

Street:

Apt. or P.O.Box:

City:

State:

Zip Code: