All Forms
ERS Forms (For Personnel Department Use Only)
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Retirement Application Packet
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Retirement Forms
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General
1099-R Form
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Active
Application for Refund of Accumulated Contributions (Please contact the ERS for more information)
Designation of Beneficiary (Contributory/Hybrid Plans Only)
(Please print ERS Form 1-A on GOLDEN ROD or YELLOW paper)
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Retirees
- 2019 W-4P Tax Withholding Form
- 2019 Federal Income Tax Withholding Tables
- ERS-210 Direct Deposit Agreement
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ERS Forms (*For Personnel Department Use Only)
*Note: All forms will not be processed unless submitted to the ERS with the appropriate supporting documents.
Social Security