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Retirement Forms And Contacts

Find links to important forms you may need before and after your retirement. We also put together a list of Retirement System contacts if you want to get in touch with someone.

Retirement forms

FORM

Notice of Injury Form

DETAILS

This form is to be used by members who are injured while in the performance of their duties.  It is must be filed with the Retirement Board (not your employer) within 90 days of the event.  It does not supplant any injury notices that are customarily required by your employer or Workers' Compensation Department.

FORM

Indemnification Form

DETAILS

Reimbursement form to be used by accidental disability retirees for purposes of medical, hospital and prescription expenses

FORM

New Member Packet

DETAILS

Here’s everything you need to get started.

FORM

Boston Retirement System Refund Form

DETAILS

You can get a refund for the amount in your annuity savings account if you terminate service without a pension.

FORM

Change of Address Form

DETAILS

You can change your address, or the address of your beneficiaries.

FORM

Change of Beneficiary Form/Option D

DETAILS

You can pick a beneficiary to receive a lifetime pension if you die before retiring.

FORM

Beneficiary Selection Form (Lump Sum)

DETAILS

With this form, you can direct us to pay the amount you contributed to your account to your beneficiary in one lump sum if you die.

FORM

Application for Military Service Credit

DETAILS

You can request credit for your time spent in the armed forces.

FORM

Public Service Credit Purchase Application

DETAILS

You may be able to buy credit for a previous public service job that you can put toward your pension account.

FORMReferral report of potential fraud
DETAILSIf you know of a potential pension fund fraud, you can complete this form and send it to the state.

Retirement Contacts

Retirement Contacts

NAME

CONTACT

NAME

Timothy Smyth, Esquire

Executive Officer

CONTACT

617-635-4311

NAME

Christine Weir

Deputy Director

CONTACT

christine.weir@boston.gov

617-635-1376

NAME

John Kelly

Investment Analyst

CONTACT

john.kelly@boston.gov

617-635-1939

NAME

Gregory Molina

Executive Assistant

CONTACT

gregory.molina@boston.gov

617-635-0039

NAME

CONTACT

NAME

Natacha Thomas, Esquire

General Counsel 

CONTACT

natacha.thomas@boston.gov

617-635-2783

NAME

Emerson Pena

Assistant General Counsel

CONTACT

emerson.pena@boston.gov

617-635-4923

NAME

Naa Ameley Owusu-Amo

Legal Assistant

CONTACT

naaameley.owusuamo@boston.gov

617-635-1930

NAME

Gregory Mattiaccio

Legal Intern

CONTACT

gregory.mattiaccio@boston.gov

617-635-4994

NAME

CONTACT

NAME

Lauren Santillana

Member Services Manager

CONTACT

lauren.page@boston.gov

617-635-4303

NAME

Ernest Bean

Data Analyst

CONTACT

ernest.bean@boston.gov

617-635-2785

NAME

Dawn Robinson

Member Service Representative/Refund Specialist

CONTACT

dawn.robinson@boston.gov

617-635-4745

NAME

Michelle Liem

Member Service Representative/Refund Specialist

CONTACT

michelle.liem@boston.gov

617-635-2627

 
NAME

Kyndra Ricketts

Member Service Representative

CONTACT

kyndra.ricketts@boston.gov

617-635-3223

NAME

Kerry Byrne

Member Service Representative

CONTACT

kerry.byrne@boston.gov

617-635-0776

NAME

Neil McGonagle

Member Service Representative

CONTACT

neil.mcgonagle@boston.gov

617-635-1463

NAME

Philip Yang

Member Service Representative

CONTACT

philip.yang@boston.gov

617-635-1465

NAME

Phillip Hatton

Member Service Representative

CONTACT

phillip.hatton@boston.gov

617-635-2289

NAME

Rosa Carter

Member Service Representative

CONTACT

rosa.carter@boston.gov

617-635-0919

NAME

Alisha Joseph

Member Service Representative

CONTACT

alisha.joseph@boston.gov

617-635-2188

NAME

Alexa Amato

Member Service Representative

CONTACT

alexa.amato@boston.gov

617-635-5092

NAME

CONTACT

NAME

Ellen McCarthy

Chief Financial Officer

CONTACT

ellen.mccarthy@boston.gov

617-635-2429

NAME

Carlos Camacho

Financial Accountant Coordinator

CONTACT

carlos.camacho@boston.gov

617-635-0917

NAME

Kelsey Hayes

Fund Accountant

CONTACT

kelsey.hayes@boston.gov

617-635-2621

NAME

Guoxin Chen

Finance Analyst 

CONTACT

guoxin.chen@boston.gov

617-635-4676

NAME

Luz Rivera

Payable/Procurement Officer

CONTACT

luz.rivera@boston.gov

617-635-4314

NAME

CONTACT

NAME

Rita Dicicco-Fraticelli

Payroll Supervisor

CONTACT

rita.dicicco-fraticelli@boston.gov

617-635-2630

NAME

Nicole Duncan 

Payroll Representative

CONTACT

nicole.duncan@boston.gov

617-635-1448

NAME

Nicholas Qin 

Payroll Representative

CONTACT

nicholas.qin@boston.gov

617-635-2080

NAME

Donna McMorrow

Payroll Representative

CONTACT

donna.mcmorrow@boston.gov

617-635-4394

Name contact
Name

Michael Collins

Manager

contact

michael.collins@boston.gov

617-635-2624

Name

Michelle Sheets

Disability Representative

contact

michele.sheets@boston.gov

617-635-2625

Name

Andrew Glynn

Disability Representative

contact

andrew.glynn@boston.gov

617-635-0938

Name

Jessica Lopez

Disability Representative

contact

jessica.lopez@boston.gov

617-635-4337

NAme Contact
NAme

Michelle Lau

QA Manager

Contact

michelle.lau@boston.gov

617-635-2615

NAme

Patricia Lyons

QA Representative

Contact

patricia.lyons@boston.gov

617-635-2622

NAme

Tony Nguyen

QA Representative

Contact

tony.nguyen2@boston.gov

617-635-2608

NAme

Erin Keough

QA Representative

Contact

erin.keogh@boston.gov

617-635-2618

NAme

Indhira Odusami

QA Representative

Contact

indhira.odusami@boston.gov

617-635-1464

NAME

CONTACT

NAME

Kai Phillip

Human Resources Director

CONTACT

kai.phillip@boston.gov

617-635-2425

NAME

CONTACT

NAME

Gilson Pimenta

Member Contact Representative

CONTACT

gilson.pimenta@boston.gov

617-635-2421

NAME

Shirley K. Paul-Philip

Member Contact Representative

CONTACT

shirley.paulphilip@boston.gov

617-635-1190

NAME

CONTACT

NAME

Adeline Occean

Intern

CONTACT

adeline.occean@boston.gov

617-635-3070

NAME

CONTACT

NAME

Flor O'Keefe

Director of Technology

CONTACT

flor.okeefe@boston.gov

617-635-5732

NAME

CONTACT

NAME

Ayanda Nation

Scanning Analyst

CONTACT

ayanda.nation@boston.gov

617-635-5721

NAME

Maureen Puckerin-Cook

Scanning Analyst

CONTACT

maureen.puckerin-cook@boston.gov

617-635-5726

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