All Forms
ERS Forms (For Personnel Department Use Only)
Hawaii Domestic Relations Orders
Retirement Application Packet
Retirement Forms
- Retirement Application Form
- ERS-28 Retirement Application Change Form
- ERS-218 Change of Retirement Date
- ERS-221 Cancellation of Retirement Application
- ERS-182 Spousal/Civil Union Partner/Reciprocal Beneficiary Notification Form
- ERS-123B Direct Rollover Options
- 2024 W-4P Pension Tax Withholding Form & FAQ
- 2024 W-4R Nonperiodic Tax Withholding Form & FAQ
General
1099-R Form
- The ERS Form 1099-R 2023
- 2024 W-4P Pension Tax Withholding Form & FAQ
- 2024 Federal Income Tax Withholding Tables
- 1099-R Frequently Asked Questions
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)
(For your first four years of active duty military service, that is within your current employment period, please contact your personnel office to initiate the Servicemen’s Act process)
Retirees
- 2024 W-4P Pension Tax Withholding Form & FAQ
- 2024 Federal Income Tax Withholding Tables
- ERS-210 Direct Deposit Agreement
- ERS-211 Mailing Address Change
ERS Forms (*For Personnel Department Use Only)
*Note: All forms will not be processed unless submitted to the ERS with the appropriate supporting documents.
- ERS-203 Election Form for New Elective Officers
- ERS-1 Membership Enrollment Form
- ERS-209 Certification of Compliance for Employment of a Retirant
- Servicemen’s Act Procedures for Employers