Change of Address Form for Retirees

If you are retired and currently receive a monthly retirement check, you may use this form to send a change of address to the New Jersey Division of Pensions and Benefits.

If you have applied for and are pending retirement, but have not yet received your first retirement check
click here to go to the Pending Retirees' Change of Address page.

Enter all information and press the "Submit" button

Technical Note: If you are unable to use this form, you can change your address by phone at (609) 292-MOVE Monday through Friday, 8:30 a.m. to 4:00 p.m. (except State holidays).

Name:
(First/MI/Last/Suffix)

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: