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)
     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