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