Forms

General Forms

• Member Information Change
• Release of Information Authorization

Service Retirement

• Service Retirement Application Packet
• Partial Lump Sum Option Distribution Election
• IRS Form W-4R with FAQs (tax withholding for PLSO election)

Service Purchases

• Rollover/Transfer Certification
• Application to Purchase Active Duty Military Service
• Application to Purchase PSRS-Covered Employment
• Application to Purchase Private School Employment
• Application to Purchase Public School Service (at schools not covered by PEERS)
• Application to Purchase Social Security-Covered Employment
• A Detailed Earnings Statement from Social Security Administratio (https://www.ssa.gov/forms/ssa-7050.pdf) is required with your purchase application for Social Security-covered service.
• Application to Purchase Unpaid Maternity/Paternity Leave
• Application to Purchase Supplemental Service
• Application to Purchase Vo-Tech Service

Disability Retirement

If you wish to apply for disability benefits, please contact us. 

• Authorization for Release of Medical Records
• PEERS Attending Physician Statement
• Disability Retirement Application Packet

Beneficiary Designations

• Pre-Retirement Beneficiary Designation