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Roseville Firefighter's Relief Association
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Forms & Applications

Tax Withholding Worksheet (W-4)
Benefit Calculator (Rev. 01/2025)
Application for Benefits (20+ years of service)
Application for Benefits (<20 years of service)
Disability Application
Beneficiary Change Form
Direct Deposit Form
Personal Information Verification Form
Severance Statement & Acknowledgment of Forfeiture

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