Open PDF file, 410.5 KB,
2016 Annual Statement of Earned Income New Member Data
(English, PDF 410.5 KB)
Open PDF file, 85.8 KB,
Accidental Disability Retirement Checklist
(English, PDF 85.8 KB)
Open PDF file, 301.87 KB,
Accounting, Actuarial & Legal Service Provider Checklist
(English, PDF 301.87 KB)
Open XLS file, 30 KB,
Anti-Spiking Calculation Worksheet
(English, XLS 30 KB)
Open PDF file, 523.95 KB,
Application for a Waiver of Education Restrictions
(English, PDF 523.95 KB)
Open PDF file, 484.87 KB,
Application for Member Survivor Benefits
(English, PDF 484.87 KB)
Open PDF file, 48.38 KB,
Application for Reinstatement to Service
(English, PDF 48.38 KB)
Open PDF file, 53.76 KB,
Authorization to Use or Disclose Protected Health Information
(English, PDF 53.76 KB)
Open PDF file, 419.67 KB,
Beneficiary Change Form
(English, PDF 419.67 KB)
Open PDF file, 550.17 KB,
Beneficiary Selection Form
(English, PDF 550.17 KB)
Open PDF file, 426.77 KB,
Beneficiary Selection Form (Option D form)
(English, PDF 426.77 KB)
Open PDF file, 567.74 KB,
Board Change Form
(English, PDF 567.74 KB)
Open PDF file, 306.18 KB,
Consultant Checklist
(English, PDF 306.18 KB)
Open PDF file, 304.19 KB,
Custodial Services Checklist
(English, PDF 304.19 KB)
Open PDF file, 126.97 KB,
Disability Application Glossary of Terms
(English, PDF 126.97 KB)
Open PDF file, 207.06 KB,
Disability Retiree Current Information Form
(English, PDF 207.06 KB)
Open PDF file, 231.28 KB,
Disability Retiree Earned Income Worksheet
(English, PDF 231.28 KB)
Open PDF file, 326.87 KB,
Disability Retirement Application
(English, PDF 326.87 KB)
Open PDF file, 104.73 KB,
Disability Retirement Benefits for Veterans
(English, PDF 104.73 KB)
Open PDF file, 242.79 KB,
Disability Transmittal to the Commission
(English, PDF 242.79 KB)
Open PDF file, 61.28 KB,
Employer's Request for Information
(English, PDF 61.28 KB)
Open PDF file, 250.28 KB,
Employer's Shift Substitution Certification
(English, PDF 250.28 KB)
Open PDF file, 59.48 KB,
Employer's Termination Retirement Certification
(English, PDF 59.48 KB)
Open PDF file, 418.81 KB,
Employer Statement for Disability Retirement Application
(English, PDF 418.81 KB)
Open PDF file, 421.97 KB,
Involuntary Retirement Application
(English, PDF 421.97 KB)
Open PDF file, 325.38 KB,
Money Manager Checklist
(English, PDF 325.38 KB)
Open PDF file, 458.14 KB,
New Member Enrollment Form
(English, PDF 458.14 KB)
Open PDF file, 363.84 KB,
Notice of Election of Benefits under 12(2)(d)
(English, PDF 363.84 KB)
Open PDF file, 73.17 KB,
Notice of Retirement Board Action on Disability Application
(English, PDF 73.17 KB)
Open PDF file, 355.76 KB,
Notice to PERAC of Reinstatement of Duties
(English, PDF 355.76 KB)
Open PDF file, 75.2 KB,
Notice to PERAC of the Granting of 12(2)(d) Benefits
(English, PDF 75.2 KB)
Open PDF file, 2.35 MB,
Placement Agent Statement for Investment Managers
(English, PDF 2.35 MB)
Open PDF file, 71.28 KB,
Pre-Tax Rollover Form
(English, PDF 71.28 KB)
Open PDF file, 374.5 KB,
PROSPER Individual Account Approval Application
(English, PDF 374.5 KB)
Open PDF file, 206.49 KB,
Refund Form (Beneficiary)
(English, PDF 206.49 KB)
Open PDF file, 288.15 KB,
Refund Form (Member)
(English, PDF 288.15 KB)
Open PDF file, 962.31 KB,
Regional Medical Panel Certificate
(English, PDF 962.31 KB)
Open PDF file, 388.56 KB,
Repayment Worksheets for Buybacks in 2017
(English, PDF 388.56 KB)
Open PDF file, 326.22 KB,
Repayment Worksheets for Buybacks in 2018
(English, PDF 326.22 KB)
Open PDF file, 146.18 KB,
Repayment Worksheets for Buybacks in 2019
(English, PDF 146.18 KB)
Open PDF file, 499.88 KB,
Repayment Worksheets for Buybacks in 2020
(English, PDF 499.88 KB)
Open XLSX file, 17.11 KB,
Retiree Post Retirement Earnings Calculator (not Disability)
(English, XLSX 17.11 KB)
Open PDF file, 428.67 KB,
Retirement Application (voluntary superannuation)
(English, PDF 428.67 KB)
Open PDF file, 627.6 KB,
Retirement Option Selection Form
(English, PDF 627.6 KB)
Open PDF file, 303.35 KB,
Securities Litigation Service Provider Checklist
(English, PDF 303.35 KB)
Open PDF file, 163.84 KB,
Special Tax Notice Regarding Lump Sum Distributions
(English, PDF 163.84 KB)
Open PDF file, 431.97 KB,
Spousal Affidavit to Determine Benefit Eligibility
(English, PDF 431.97 KB)
Open PDF file, 81.26 KB,
Termination Retirement Transmittal
(English, PDF 81.26 KB)
Open PDF file, 722.29 KB,
Vendor Certification
(English, PDF 722.29 KB)
Open PDF file, 599.81 KB,
Vendor Contact Information
(English, PDF 599.81 KB)
Open PDF file, 1.02 MB,
Vendor Disclosures
(English, PDF 1.02 MB)
Open PDF file, 488.87 KB,
Veterans' Buyback Form
(English, PDF 488.87 KB)