Resources

Adobe Reader is required for many documents on this site. Download the free Reader by clicking the image below.

Railroad Retirement Board Forms
Unemployment & Sickness Benefits

	IB-4	Pay for Time Lost from Regular Employment (06/96)
	UB-9	Railroad Unemployment and Sickness Benefits (07/06)
	UB-10	Unemployment Benefits for Railroad Employees and UI-1 Application (11/06)
	UB-11	Sickness Benefits for Railroad Employees and SI-1AB Application (11/06)
	UB-12	Guide to Finding the Right Job (12/05)

Retirement & Survivor Benefits

	G-177	General Conditions Under Which a Person is Entitled to a Railroad Retirement Employee Annuity (04/04)
	G-177A	Conditions Under Which a Person is Entitled to a Railroad Retirement Spouse Annuity (04/04)
	G-177B	When Military Service is Creditable Toward Benefits Under the RRA (01/89)
	G-177C	Conditions Under Which a Person is Entitled to a Railroad Retirement Divorced Spouse Annuity (02/02)
	G-177D	Partition of Annuities by Court Decree (11/87)
	G-177S	Conditions Under Which a Person is Entitled to a Railroad Retirement Widow(er)/Surviving Divorced Spouse Annuity (09/06)
	G-179	Special Guaranty in Employee and Spouse Annuities (04/06)
	G-315H	Checklist for Documentation Needed for Student Age 18-19 and In Home Schooling (04/02)
	G-316	Railroad Retirement Benefits for Students Age 18-19 and In Secondary School (05/02)
	IB-2	Railroad Retirement and Survivor Benefits (02/07)
	IB-3	Customer Service Plan (06/98)
	RB-1	Employee Age and Service Annuities (07/04)
	RB-1D	Employee Disability Benefits (01/02)
	RB-3	Furnishing Evidence to Support Your Claim (08/04)
	RB-5	Your Duties as Representative Payee/Representative Payee's Record (03/98)
	RB-9	Employee and Spouse Annuities - Events That Must be Reported (05/04)
	RB-9S	Events That Affect A Survivor Annuity (11/02)
	RB-17	Survivor Annuities (07/04)
	RB-17B	Widow(er)'s Disability Benefits Booklet (10/04)
	RB-21	Lump-Sum Death Payment, Residual Lump-Sum, Annuities Unpaid at Death (12/02)
	RB-30	Spouse/Divorced Spouse Annuity (06/04)
	T-35	The Railroad Retirement and Survivors Improvement Act of 2001 (01/02)
	RRB-40	U.S. Railroad Retirement Board Help-Line (12-97)

Medicare

	RB-13	What Railroad Beneficiaries Should Know About Medicare Prescription Drug Plans (11/05)
	RB-20	Medicare for Railroad Workers and Their Families (01/07)
	RB-104	Health Insurance for Railroad Retirement Beneficiaries in Canada (08/05)

Income Tax

	1099/1099-R	Sample of U.S. Citizen Original Tax Statement Mailer
	1042S/1099-R	Sample of Nonresident Alien (NRA) Original Tax Statement Mailer
	TXB-25	Tax Withholding and Railroad Retirement Payments (for use with Form RRB W-4P) (02/07)
	TB-85	Information About the Taxation of Railroad Retirement Annuities (01/97)
	TL-1042S	Form RRB-1042S Tax Statement General Information (01/02)
	TL-1099	Form RRB-1099 Tax Statement General Information (01/02)
	TL-1099-R	Form RRB-1099R Tax Statement General Information (01/02)
	TL-1099-R 1991	Form RRB-1099R 1991 Tax Statement General Information (01/02)
	RRB-1042S	Sample of the Duplicate or Corrected RRB-1042S Tax Statement
	RRB-1099	Sample of the Duplicate or Corrected RRB-1099 Tax Statement
	RRB-1099-R	Sample of the Duplicate or Corrected RRB-1099-R Tax Statement
	W-4P	Withholding Certificate for Railroad Retirement Payments

Work/Earnings

	AB-31	How Work Affects Your Disability Benefits (01/05)
	G-77	How Earnings Affect Payment of Survivor Annuities (11/06)
	G-77A	How Work Affects Your Railroad Retirement Benefits (11/06)
	G-177L	General Information About Continuing in or Returning to Non-Railroad Employment After Retirement (05/03)

Protests and Appeals

	G-70	Protest of Record of Service Months and Compensation (07/03)
	HA-1	Appeal Under the Railroad Retirement Act or the Railroad Unemployment Insurance Act (10/98)
	HA-2	Procedures Governing Appeals Under the Railroad Retirement Act and the Railroad Unemployment Insurance Act (02/98)