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Publications
Member Handbook
DROP Distribution Brochure
State Police Member Handbook
Public Organizations - May 2001
Preparing for Retirement

Forms
Enrollment Forms
Change Forms
Purchase Service or Transfer Forms
Retirement / Disability Forms
Withdrawal Forms
DROP Forms


Enrollment Forms
  Form 100, Enrollment Form: Member Information Record
     
Change Forms
  Address Change Notification
  RSA 100-C Change of Beneficiary Form - Prior to Retirement*
* Active Members ONLY; Retirees should contact the RSA
  RSA 14, Acceptable Proof of Age Documents
     
Purchase Service or Transfer Forms
  Transfer of Membership from the ERS

 

Statement of Withdrawn Service
  General Statement of Service
  Application to Obtain Service Credit for Maternity Leave Without Pay
  Statement of Military Service
  ERS F Service Calculation
  Firefighter Certification
  Law Enforcement Officer Certification
  Purchase Transfer Request
  Application and Certification for Out-of-State Service
   
Retirement / Disability Forms
  Retirement Application Packet Part I (State)
  Retirement Application Packet Part I (Non-State)
  Report of Disability Packet
  Withholding Certificate for Pension or Annuity Payments
  Direct Deposit Authorization
  Special Tax Notice Regarding Your Rollover Options
  ERS 10MB Multiple Beneficiaries Attachment
  Postretirement Employment Options
   
Withdrawal Forms
  RSA 7 Notice of Final Deposit and Request for Refund
  RSA SB PRDB, Application for Survivor Benefit
  Ineligible Member Refund Request
  Special Tax Notice Regarding Your Rollover Options
   
DROP Forms
 
Enrollment in DROP
   DROP Contract / Application
   Form MB, Designation of Multiple Beneficiaries for DROP
     
 
Distribution of DROP Account - State Agencies
    Applying for DROP Distribution - Early Termination
    Applying for DROP Distribution - Participation Period Completed
    Applying for DROP Distribution - Death During DROP Participation
    DROP Participation Period Completed - Will Continue Employment
    Applying for DROP Distribution - Post DROP Termination
     
 
Distribution of DROP Account - Non-State Agencies
    Applying for DROP Distribution - Early Termination
    Applying for DROP Distribution - Participation Period Completed
    Applying for DROP Distribution - Death During DROP Participation
    DROP Participation Period Completed - Will Continue Employment
    Applying for DROP Distribution - Post DROP Termination
     
  Individual Forms
   Request for DROP Distribution and Rollover Election
   Direct Deposit Authorization
   Special Tax Notice Regarding Your Rollover Options
   Report of Disability Packet

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