Forms Download, Active Members

  These forms may be completed by simply selecting the form below. Please fill in your information, print, sign and mail/fax to PERS.

NOTE: Some forms are not listed due to required research and follow-up with a retirement counselor.

   Active Member Forms
     Change of Personal Information Form (Non Retirees)
     Revised Employee Contribution Refund Request Form
     PERS Limited Power of Attorney
     Proof of Birth Date and Name Change Documentation
     Purchase of Service Worksheet - Members Hired Prior to January 1, 2010
     Purchase of Service Worksheet - Members Hired January 1, 2010 - June 30, 2015
     Survivor Beneficiary Designation
NOTE: Adobe Acrobat Reader 3.x or greater is required to see these forms.

Click here to download