Employer Forms
New Member Forms
- New Member Enrollment Form
- Beneficiary Selection Form for Refund of Accumulated Deductions if Member Dies before Retirement
- Beneficiary Selection Form Option D if Member Dies before Retirement
- Social Security Acknowledgement
Disability Forms
- Employer's Statement Relative to Disability Retirement Application
- Employer's Application for Involuntary Retirement
Service/Salary Verification Forms
Other Forms
Employer Forms
- Employers Request for Information .pdf
- Separation Notice.pdf
- Verification of Salary.pdf
- Verification of Salary rates for Disability application.pdf
- Employer's Application for Involuntary Retirement.pdf
- Employer's Statement Relative to Disability Retirement 022020.pdf Fillable1.pdf
- Employers Certification Form Shift Substitution.pdf
- PERAC Memo Requiring Documentation of Shift Substitution Payback.pdf
