Section 6-26-3 - Contents of application(a) All applications for retirement benefits shall contain the following information: (1) The member's name, mailing address, and social security number;(2) The date of the application;(3) The member's date of birth;(4) The name of the employing department;(5) The position or job title held by the member;(6) The retirement allowance option that the member elects under any of the plans for receiving retirement allowances described in sections 88-74, 88-83, 88-282, 88-283, 88332, and 88-333, HRS;(7) The name, relationship, social security number, and date of birth of any beneficiary designated to receive the benefit payable upon the death of the member after retirement;(8) The duly notarized signature of the member is required unless: (A) The member executes the application in the presence of a staff member who is authorized by the executive director of the system to accept applications; or(B) The application is for ordinary or service-connected disability retirement and is filed by the member's duly authorized and appointed guardian or legal representative, as provided in section 6-26-1 (b) .(b) If the application is for disability retirement, the application shall contain the following additional information: (1) Whether the application is for ordinary or service-connected retirement.(2) If the application is for service-connected disability retirement, a brief statement of the accident causing the disability, including the date, time, place, and circumstances of the accident, or a brief statement of the occupational hazard causing the disability.(c) If the application is for service retirement, the application shall also contain the effective date of retirement.[Eff 2/9/89; am and comp NOV 26 2009] (Auth: HRS § 88-28) (Imp: HRS §§ 88-73, 88-75, 88-79, 88-83, 88-281, 88-283, 88-28488-286, 88-331, 88-333, 88-334, 88-336)