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
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 2024 – 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