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Retirement Application Packet

Retirement Forms

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Retirees

ERS Forms (For Personnel Department Use Only)

Hawaii Domestic Relations Orders


Retirement Application Packet

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Retirement Forms

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General

1099-R Form

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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)

(For any active duty military service that is within your current employment period, please contact your personnel office to initiate the Servicemen’s Act process)

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Retirees

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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

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ERS Office-Visit Procedures: Starting Sept. 13, 2021, visitors to the Employees’ Retirement System offices must provide verification of being fully vaccinated or if not fully vaccinated, provide a negative COVID-19 test result (taken within 72 hours of the ERS office visit) as a condition of entry. Contact the ERS at 808-586-1735 or the office on your island before visiting. Click here to view the full message. Mahalo.