Member Forms
Retirement Application Package
Retirement Application Forms
- Retirement Application Form
- ERS-210 Direct Deposit Agreement
- EC&B-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
- 2021 W-4P Tax Withholding Form (use 2021 Form W-4P for 2022)
- 2022 Federal Income Tax Withholding Tables
- EC&B 123B Direct Rollover Options
Miscellaneous
- ERS-211 Mailing Address Change
- ERS 243 Member Information Form
- ERS Form 1-A Contributory/Hybrid Plan Designation of Beneficiary
(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)