Age at Retirement
  Years
  Months
  Service at Retirement
  Years
  Months
  High-3 Salary
 
  Special Provision Employee?
 
  Congressional Service
  Years
  Months
     
  Years of Service
  Annuity Value
   
  Annual Annuity
  Based on Service
   
  Survivor Benefit (If Selected)
  50% Benefit Cost
  Annual Annuity
  Survivor Benefit
 
  25% Benefit Cost
  Annual Annuity
  Survivor Benefit