Judges’ Retirement System (JRS) Forms

• Authorization to Release Information
• Combined Medical Power of Attorney & Living Will (legal size)
• Confidential Records Order
• Less Than Honorable Service
• Living Will (legal size)
• Medical Power of Attorney (legal size)
• Membership Enrollment
• Online Self-Service Get-Started Guide
• Qualified Domestic Relations Order (QDRO)
• Purchase of Permissive Service Credit (Rollover)
• Retired Public Safety Officer Premium Deduction (PSOA-2025)
• Insurance Carrier Authorization (ICA)
• WV Statutory Power of Attorney