2026 Retirement Recognition Form

Form used to recognize retired members of KASFAA.

* - Required Field

First Name *

Last Name *

Email *

Retirement - KASFAA members who have officially retired from their place of employment and have been active participants in the association for a minimum of ten (10) years are eligible to receive retirement recognition from KASFAA.

First Name of Retiree *

Last Name of Retiree *

Institution/Agency Name of Retiree *

Month/Year of Nominee's Retirement *

Nominee Photo (if available)

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