Member Forms
- New Member Enrollment Form
- Change of Address Form
- Personnel Status Change Form
- Statement Concerning Your Employment in a Job Not Covered by Social Security (used with New Member Enrollment Form)
- Beneficiary Selection Form (If Member Dies Before Retirement and wishes to leave a lump-sum benefit to beneficiary/beneficiaries.)
- Option D Beneficiary Form (If Member Dies Before Retirement and wishes to leave a lifetime benefit to their eligible beneficiary).
- Application for Withdrawal of Accumulated Total Deductions (Refund)
- Special Tax Notice Regarding Lump Sum Distributions (used with Application for Withdrawal of Accumulated Total Deductions)
- Pre-Tax Rollover Acknowledgement Form
- Rollover Request Checklist
- Military Service Purchase Form
DISABILITY APPLICATION FORMS:
- Members Application for Disability Retirement
- Involuntary Retirement Application
- Physician's Statement Pertaining to a Member's Application for Disability Retirement
- Employer's Statement
PERAC Retirement Guides:
LINK TO PERAC'S GUIDE PAGE (IN CASE YOU CANNOT OPEN THE LINKS BELOW)