Authorization to release form
Authorization for Disclosure of information
Secure file uploads via Sharefile
Members:
Refund application
Beneficiary Form (If Member dies Before Retirement) revised Sept 2021
All Forms for new members to the retirement system
Direct Deposit Form – non retirees – You must contact our office directly to request this form
Request for Makeup Sept 2021
Request for Military buyback
Retirement Application
Retirement Option Choice Form
Post Retirement Earnings – Template 2025 Updated Copy
PERAC Guidebook for members that started BEFORE April 2, 2012
PERAC Guidebook for members that started AFTER April 1, 2012
Retirees:
2025 W-4P Tax Form
Insurance Authorization for Insurance Premiums
Option A & B residual beneficiary payment forma
Option B Beneficiary Change Form
Retirement Packet – all forms 2025– PLEASE NOTE: You must call the office directly to request the Direct Deposit form
Address or Name Change Form
Treasurers:
Application For Withdrawal – Treasurer’s page only
Notice of Separation (NOS)
Status Change Form (SCF) revised 20210929 fillable
Position Information Form (PIF) revised 20200609 fillable
Social Security sign-off form ssa-1945