Forms Download, Benefit Recipients
| These forms may be completed by simply selecting the form below. Please fill in your information, print, sign and mail/fax to PERS. | ||
| Benefit Recipient Forms | ||
| Change of Address for Benefit Recipients | ||
| Disability Reemployment Questionaire | ||
| Electronic Funds Transfer (EFT) Authorization | ||
| Option Reversion | ||
| PERS Limited Power of Attorney | ||
| Public Safety Officer Tax Exclusion | ||
| Retiree Benefit Recalculation - Reemployed 5 or more years | ||
| Retiree Benefit Recalculation - Reemployed less than 5 years | ||
| Retiree Reemployment Notification PERS Eligible Position | ||
| Retiree Reemployment Notification Non-PERS Eligible Position | ||
| Student Certification | ||
| Tax Withholding Certificate | ||
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NOTE: Adobe Acrobat Reader 3.x or greater is required to see these forms.
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 Click here to download |
