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