Ó£»¨ÊÓƵ

Beneficiary

• Beneficiary Designation form (ABP/DCRP)
• Beneficiary Designation Form (JRS)
• Beneficiary Designation Form (SACT)

Member Information

• ABP/DCRP/SACT Change of Address Form
• Affidavit of Name and/or Gender Change
• Waiver or Restoration of Pension Allowance

Retirement

• Chapter 157 Request for Amended Benefits

Death Claims

• Death Benefit Status Questionnaire
• Employer Certification - Accidental Death on Duty (PERS/TPAF/PFRS/SPRS)
• Employer Certification (ABP)
• Employer Certification (DCRP)
• Employer Certification (PERS/TPAF/PFRS/SPRS)

Enrollment

• ABP Participation Waiver
• DCRP Transmittal of Local Government Ordinance or Resolution
• DCRP Waiver of Retirement Program Participation (for PERS, TPAF, PFRS, and SPRS Members Earning Salary in Excess of the Social Security Maximum)
• Election to Participate in the DCRP for PERS or TPAF Employees Who Previously Waived DCRP Enrollment
• Employee/Independent Contractor Checklist – Pension Fraud and Abuse Section (PERS/DCRP)
• Employee/Independent Contractor Checklist – Enrollment Section (PERS/DCRP)
• Employment Verification
• Enrollment Application (ABP)
• Enrollment Application (DCRP)
• Enrollment Application (JRS)
• Enrollment Application (PERS Prosecutors Part)
• Enrollment Application (PERS/TPAF)
• Enrollment Application (PFRS)
• Enrollment Application (SPRS)
• Enrollment/Transfer Application (ABP)
• Interfund Transfer Form (PERS/TPAF/PFRS/SPRS/JRS)
• Intrafund Transfer/Rehire Form (ABP)
• Intrafund Transfer/Rehire Form (DCRP)
• PERS - Prosecutors Part Change of Position Form (for County Prosecutors)
• PERS - Prosecutors Part Change of Position Form (for State Prosecutors)
• PERS - Prosecutors Part Change Form - Government Employee Interchange Act
• PFRS Report of Examining Physician
• PFRS - Requirements for Review of a Title
• Report of Transfer/Multiple Enrollment (PERS/TPAF/PFRS)
• Resolution: County Fire Marshals and Assistant County Fire Marshals

Group Life Insurance

• GLI: Contributory Life Insurance: Withdrawal Form (PERS)
• GLI: Contributory Life Insurance: Withdrawal Form (TPAF)

TEPS

• TEPS Authorization

Loans

• Certified Loan Request
Loan Recertification Request

Purchase

• Employer Verification of Leave of Absence for Union Representation
• Employment Verification Form

Retirement

• Certification of Service & Final Salary (SPRS)
• Employer Certification for Terminated Retirees Under Executive Order No. 115
• Notification of Employment after Retirement

SACT/ACTS

• Salary Reduction Agreement (ACTS)
• Salary Reduction Agreement (SACT)

Terminations/Withdrawals

• Eligibility Status Change Verification Form (DCRP)
• Leave of Absence/Termination of Employment (ABP)
• Employer's Certification for Withdrawal
• Employer's Certification for Withdrawal (JRS)

Miscellaneous

• EPIC User's Information Guide
• Request for USERRA-Eligible Service
• Salary Reduction Agreement (ABP)
• Supplemental Biweekly Certification
• VESP Application

Active

• Accidental Death Application
• Accidental Death - Employer Certification
• Active Beneficiary Verification Form
• Chapter 54 COVID-19 Accidental Death Application (PFRS)
• Chapter 54 COVID-19 Accidental Death Application (SPRS/PERS First Responders)
• Application for Survivor Benefits (JRS)

Retired

• Last Check Benefit Form
• Option 1 Reserve Certificate of Claimant
• Retired Beneficiary Verification Form

Miscellaneous

• Alliance Account Information Sheet
• Application for Dependent Death Benefits
• Estate Federal Tax Withholding Certificate
• Non-member Designation of Beneficiary
• Non-spouse Rollover Election Form
• Prudential Fraud Warning Notice
• Spouse Rollover Election Form
• VESP Application