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, 185.31 KB,
Accounting, Actuarial & Legal Service Provider Checklist
(English, PDF 185.31 KB)
Open XLS file, 30 KB,
Anti-Spiking Calculation Worksheet
(English, XLS 30 KB)
Open PDF file, 407.46 KB,
Application for a Waiver of Education Restrictions
(English, PDF 407.46 KB)
Open PDF file, 366.21 KB,
Application for Member Survivor Benefits
(English, PDF 366.21 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, 302.88 KB,
Beneficiary Change Form
(English, PDF 302.88 KB)
Open PDF file, 437.66 KB,
Beneficiary Selection Form
(English, PDF 437.66 KB)
Open PDF file, 312.12 KB,
Beneficiary Selection Form (Option D form)
(English, PDF 312.12 KB)
Open PDF file, 567.74 KB,
Board Change Form
(English, PDF 567.74 KB)
Open PDF file, 189.29 KB,
Consultant Checklist
(English, PDF 189.29 KB)
Open PDF file, 187.24 KB,
Custodial Services Checklist
(English, PDF 187.24 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, 172.83 KB,
Disability Retiree Earned Income Worksheet
(English, PDF 172.83 KB)
Open PDF file, 433.55 KB,
Disability Retirement Application
(English, PDF 433.55 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, 138.33 KB,
Employer's Shift Substitution Certification
(English, PDF 138.33 KB)
Open PDF file, 59.48 KB,
Employer's Termination Retirement Certification
(English, PDF 59.48 KB)
Open PDF file, 333.61 KB,
Employer Statement for Disability Retirement Application
(English, PDF 333.61 KB)
Open PDF file, 76.91 KB,
Exemption from Investment Restriction for Hedge Fund of Funds
(English, PDF 76.91 KB)
Open PDF file, 72.64 KB,
Exemption from Investment Restriction for Hedge Funds
(English, PDF 72.64 KB)
Open PDF file, 311.79 KB,
Involuntary Retirement Application
(English, PDF 311.79 KB)
Open PDF file, 207.58 KB,
Money Manager Checklist
(English, PDF 207.58 KB)
Open PDF file, 349.66 KB,
New Member Enrollment Form
(English, PDF 349.66 KB)
Open PDF file, 252.15 KB,
Notice of Election of Benefits under 12(2)(d)
(English, PDF 252.15 KB)
Open PDF file, 73.17 KB,
Notice of Retirement Board Action on Disability Application
(English, PDF 73.17 KB)
Open PDF file, 245.59 KB,
Notice to PERAC of Reinstatement of Duties
(English, PDF 245.59 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, 256.33 KB,
PROSPER Individual Account Approval Application
(English, PDF 256.33 KB)
Open PDF file, 198.56 KB,
Refund Form (Beneficiary)
(English, PDF 198.56 KB)
Open PDF file, 263.55 KB,
Refund Form (Member)
(English, PDF 263.55 KB)
Open PDF file, 517.28 KB,
Regional Medical Panel Certificate
(English, PDF 517.28 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, 318.71 KB,
Retirement Application (voluntary superannuation)
(English, PDF 318.71 KB)
Open PDF file, 511.81 KB,
Retirement Option Selection Form
(English, PDF 511.81 KB)
Open PDF file, 766.26 KB,
Securities Litigation Annual Vendor Disclosures
(English, PDF 766.26 KB)
Open PDF file, 186.81 KB,
Securities Litigation Service Provider Checklist
(English, PDF 186.81 KB)
Open PDF file, 164.78 KB,
Special Tax Notice Regarding Lump Sum Distributions
(English, PDF 164.78 KB)
Open PDF file, 323.34 KB,
Spousal Affidavit to Determine Benefit Eligibility
(English, PDF 323.34 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, 600.25 KB,
Vendor Change of Address or Contact Information
(English, PDF 600.25 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, 495.47 KB,
Veterans' Buyback Form
(English, PDF 495.47 KB)