Forms

• Retirement Forms

• Miscellaneous

• ERS Forms (For Personnel Department Use* Only)

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Retirement Application Package

• Contributory Plan

• Noncontributory Plan

• Hybrid Plan

Retirement Forms 

• Form 18  Contributory Application

• Form 18-H Hybrid Application

• Form 18-N  Noncontributory Application

• Form 182  Spousal/Reciprocal Beneficiary Notification

• Form 123B  Federal Tax Withholding

Miscellaneous

General

• ERS-125 Contributory-Hybrid Plan Election Form 

• Form 1551 - Request to Acquire Previous Military Service Credit

  • Military Booklet

• Copy of 1099-R form

Active

• Application for Refund of Accumulated Contributions
  (Please contact the ERS for more information)

  • EC&B 24 - Claim for Previous Service

  • EC&B 45A - Request for Estimate

• Cancellation of Retirement Application

• Designation of Beneficiary (Contributory/Hybrid Plans Only)

  • Form 1-A Designation of Beneficiary
    (Please print on GOLDEN ROD or YELLOW paper) 

    • Form 1-A Questions and Answers

Retirees

• Form 26
  Use Form W-4P Withholding Certificate for Pension or Annuity Payments

• Federal Income Tax Withholding Tables for 2009

• Pensioner's Address Change/Direct Deposit Authorization

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ERS Forms (For Personnel Department Use* Only)

*Note:  All forms will not be processed unless submitted to the ERS
            with the appropriate supporting documents.

• EC&B-1 Membership Enrollment Form

• Social Security

  • Memo to Departments Regarding New Regulations for Employees Hired on or after 01/01/2005 who are Not Covered by Social Security  

  • Form SSA-1945