Open PDF file, 85.8 KB,
Accidental Disability Retirement Checklist
(English, PDF 85.8 KB)
Open PDF file, 162.87 KB,
Accounting, Actuarial & Legal Service Provider Checklist
(English, PDF 162.87 KB)
Open PDF file, 152.24 KB,
Annual Vendor Disclosures
(English, PDF 152.24 KB)
Open XLS file, 30 KB,
Anti-Spiking Calculation Worksheet
(English, XLS 30 KB)
Open PDF file, 418.89 KB,
Application for a Waiver of Education Restrictions
(English, PDF 418.89 KB)
Open PDF file, 484.87 KB,
Application for Member Survivor Benefits
(English, PDF 484.87 KB)
Open PDF file, 111.2 KB,
Application for Reinstatement to Service
(English, PDF 111.2 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, 34.26 KB,
Certificate for Accidental Disability (Heart)
(English, PDF 34.26 KB)
Open PDF file, 33.29 KB,
Certificate for Accidental Disability (Lung)
(English, PDF 33.29 KB)
Open PDF file, 164.01 KB,
Consultant Checklist
(English, PDF 164.01 KB)
Open PDF file, 174.77 KB,
Custodial Services Checklist
(English, PDF 174.77 KB)
Open PDF file, 126.97 KB,
Disability Application Glossary of Terms
(English, PDF 126.97 KB)
Open PDF file, 231.28 KB,
Disability Retiree Earned Income Worksheet
(English, PDF 231.28 KB)
Open PDF file, 445.85 KB,
Disability Retirement Application
(English, PDF 445.85 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, 368.29 KB,
Employer Statement for Disability Retirement Application
(English, PDF 368.29 KB)
Open PDF file, 159.77 KB,
Investment Manager Checklist
(English, PDF 159.77 KB)
Open PDF file, 421.97 KB,
Involuntary Retirement Application
(English, PDF 421.97 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, 251.5 KB,
Notice to PERAC of Reinstatement of Duties
(English, PDF 251.5 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, 356.79 KB,
Placement Agent Statement for Investment Managers
(English, PDF 356.79 KB)
Open PDF file, 71.28 KB,
Pre-Tax Rollover Form
(English, PDF 71.28 KB)
Open PDF file, 510.91 KB,
PROSPER Individual Account Approval Application
(English, PDF 510.91 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, 591.76 KB,
Regional Medical Panel Certificate
(English, PDF 591.76 KB)
Open XLSX file, 17.17 MB,
Repayment Worksheets for Buybacks in 2022
(English, XLSX 17.17 MB)
Open PDF file, 159.01 KB,
Repayment Worksheets for Buybacks in 2023
(English, PDF 159.01 KB)
Open PDF file, 524.24 KB,
Repayment Worksheets for Buybacks in 2024
(English, PDF 524.24 KB)
Open PDF file, 1.13 MB,
Repayment Worksheets for Buybacks in 2025
(English, PDF 1.13 MB)
Open XLSX file, 17.21 MB,
Repayment Worksheets for Buybacks in 2026
(English, XLSX 17.21 MB)
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, 143.69 KB,
Securities Litigation Service Provider Checklist
(English, PDF 143.69 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, 448.48 KB,
Spousal Notice of Election of Benefits
(English, PDF 448.48 KB)
Open PDF file, 81.26 KB,
Termination Retirement Transmittal
(English, PDF 81.26 KB)
Open PDF file, 133.87 KB,
Vendor Certification
(English, PDF 133.87 KB)
Open PDF file, 228.22 KB,
Vendor Contact Information
(English, PDF 228.22 KB)
Open PDF file, 488.87 KB,
Veterans' Buyback Form
(English, PDF 488.87 KB)