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MEMBER Forms

 

You can also view the forms in numeric order and/or alphabetical order.                

 

These forms may be viewed using the free Adobe Acrobat Reader.  These forms are also available by contacting PSERS.

 

To avoid delays or errors, before you complete an application for retirement or disability retirement form, PSERS strongly suggests you attend one of our regular retirement counseling sessions in your area presented by a PSERS Regional Representative                

 

Membership Eligibility, Nomination of Beneficiary, and Other Active Member Forms

 
 

Purchase of Service

 
 

Retirement

 

To avoid delays or errors - before you complete an application for retirement or disability retirement form, PSERS strongly suggests you attend one of our regular retirement counseling sessions in your area presented by a PSERS Regional Representative.

 
 

Contact your PSERS regional office to receive an Application for Disability Retirement.  To receive any other forms associated with a disability retirement or an Application for Refund, contact PSERS . 

 

Forms for Retirees, including Direct Deposit and information on the Health Options Program

 
Power of Attorney
 

Taxes