FORM | DESCRIPTION | |
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Certification of employee compensation and hours. |
11/2005 | |
This form is for the certification and purchasing of service credit for absent time covered under the Uniformed Services Employment and Re-employment Act, and Workers' Compensation. |
8/2014 | |
A retiring member may authorize MPERA to deduct health insurance premiums from their retirement benefit. |
10/2011 | |
If your employee changes their name, please have them complete this form and return it to MPERA. |
5/2015 |
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Portal Access Manager Security Agreement | Must be completed by new primary users to access the MPERA Online Payroll Reporting System. | 6/2016 |
If an employee terminates, please give them this information regarding their retirement funds. |
10/2010 |
MEMBERSHIP/BENEFICIARY DESIGNATION CARDS | |
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Address changes must be done through your employing agency. |
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The Public Employee Retirement System membership card is for new hires and for current PERS members who wish to change their designated beneficiaries. |
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The Judges' Retirement System membership card is for new hires and for current JRS members who wish to change their designated beneficiaries. |
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The Highway Patrol Officers' Retirement System membership card is for new hires and for current HPORS members who wish to update their statutory beneficiaries or change their designated beneficiaries. |
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The Sheriffs' Retirement System membership card is for new hires and for current SRS members who wish to change their designated beneficiaries. |
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The Game Wardens' and Peace Officers' Retirement System membership card is for new hires and for current GWPORS members who wish to change their designated beneficiaries. |
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The Municipal Police Officers' Retirement System membership card is for new hires and for current MPORS members who wish to update their statutory beneficiaries or change their designated beneficiaries. |
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The Firefighters' Unified Retirement System membership card is for new hires and for current FURS members who wish to update their statutory beneficiaries or change their designated beneficiaries. |
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The Volunteer Firefighters' Compensation Act Designation of Beneficiary card is for volunteer firefighters to name their statutory beneficiaries. |
OPTIONAL MEMBERSHIP FORMS | ||
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FORM | DESCRIPTION | |
Public Employees' Retirement System (PERS) | New employees in certain positions may elect to join PERS. |
05/2012 |
Firefighters' Unified Retirement System (FURS) | New part-paid firefighters may elect to join FURS. |
04/2015 |
Local Elected Official Optional Membership Forms |
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Current PERS Member | A person who is an active member of PERS may elect to participate in PERS as a local elected official. This applies only to positions with less than 960 hours in a calendar year. |
10/2014 |
Retired PERS Member | A person who is a retired member of PERS may elect to participate as an active member of PERS as a local elected official. |
10/2014 |
Non-PERS Member | A person who is not a member of PERS may elect to participate in PERS as a local elected official. |
10/2014 |
PRINTABLE FORMS |
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