Forms/Kits/Handbooks
PERA offers publications about its benefits and services that can be an invaluable resource. All publications and forms are available to download or print in PDF format.
- Forms
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Affirmation of Marital Status
To be used to certify that the retiring member is single at the time of retirement. The member's signature must be notarized.
Download FormApplication for a Retiree - Judge or Magistrate
To be used by a PERA retiree returning to work for a PERA affiliated-employer as a Judge or Magistrate.
Download FormApplication for a Reemployed PERA Retiree
To be used by a PERA retiree returning to work for a PERA affiliated-employer.
Download FormDirect Deposit Form
To be used by the retiring member to have their pension benefit automatically direct deposited into a designated bank account.
Download FormEmployer Certification of Termination for a Re-Employed PERA Retiree
To be used for a termination of a return-to-work PERA retiree. This form must be completed and submitted to PERA upon the return-to-work retiree's termination.
Download FormSpousal Consent Form
To be used by the retiring member and their spouse to ensure the spouse is aware of the member's selected form of payment and choice of beneficiary.
Download FormSpousal Consent Form - Judicial/Magistrate Retirement
To be used by the retiring member in the Judicial Retirement Act or the Magistrate Retirement Act and their spouse to ensure the spouse is aware of the member's selected form of payment and choice of beneficiary.
Download FormTax Deduction Form
To be used by the retiring member to instruct PERA about taxes to be deducted from the retiree's pension check.
Download Form
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- Kits
- Handbooks