Forms and Retirement Guides

Active Member Forms

• Name Change Form
• Change of Address Form
• Estimate Request
• Redeposit Request
• Makeup Request
• Application for Refund of Accumulated Total Deductions
• Pre-Tax Rollover Acknowledgement Form
• Creditable Service Request For Veterans
• Beneficiary Selection Form for Active Member
• Application for Superannuation Retirement
• Choice of Retirement Option Form
• Application for Disability Retirement

Retiree Forms

• Direct Deposit Form
• Beneficiary Change Form (Option B)
• Tax Information for Retirees- Form-W4P

Employer Forms

• Treasurer Information Form
• Social Security Form
• Separation Notice
• New Member Enrollment Package
• Payroll Submittal Form
• Insurance Information Submittal Form
• Employer Certification in Connection With Shift Substitution

PERAC Retirement Guides

• Retirement Guide for Membership prior to April 2, 2012
• Retirement Guide for Membership after April 2, 2012
• Disability Guide
• Survivor Benefit Guide
• Retirees Rights Responsibilities
• Guide to Retirement Benefit Calculations
• Retirement for Public Employees in the Commonwealth