 Form #
|  Form Name (Hover over form titles for descriptions.)
|
| 01-02 | Change of Address (June, 2015) |
| 01-06 | Designation of Beneficiary (June, 2016) |
| 01-07 | Change of Name (June, 2015) |
| 02-01 | Refund of Accumulated Contributions (December, 2016) |
| 02-01A | Authorization for Direct Rollover (November, 2016) |
| 02-02 | Emergency Refund Request (December, 2013) |
| 02-12 | Application for Repayment of Refunded Service to Reciprocate/Transfer (May, 2016) |
| 02-16 | Request Research of Refundable Contributions (April, 2014) |
| 03-02 | Spouse and Adult Child Selection of Distribution (October, 2013) |
| 05-01 | Request for Retirement Benefit Estimate (April, 2016) |
Legal
| Married Members with Separate Property Agreements (March, 2009) |
| MSD32 | Request for Contribution Income Verification (August, 2015) |
| MSD33 | Request for First Eligible Letter for Social Security (August, 2015) |
| MSD41 | Visitor Information Sheet (August, 2014) |
| MSD46 | Disability Appeal (September, 2013) |
| MSD50 | Request for Return of Legal Documents Submitted to LASERS (April, 2015) |
| PREP | Pre-Retirement Education Program (PREP) Seminar Application (March, 2016) |
| 02-03 | Application for Reciprocal Recognition of Service (July, 2012) |
| 02-04 | Application for Transfer and/or Upgrade of Creditable Service (July, 2013) |
| 02-06 | Application for Purchase of Military Service (February, 2013) |
| 02-07 | Application for Purchase of Service R.S. 11 429 (B) (November, 2015) |
| 02-11 | Application for Repayment of Refunded Service (June, 2015) |
| 02-13 | LASERS Acceptance Letter of Rollover Assets (August, 2010) |
| 02-14 | Legislative Upgrade Invoice Request (February, 2013) |
| 02-15 | Judicial Upgrade Invoice Request (September, 2013) |
| 02-20 | Application for Purchase of Federal Service (October, 2016) |
| 15-01A | ORP Defined Contribution Plan Transfer to LASERS Defined Benefit Plan (February, 2015) |
| 03-03 | Survivor Marital Status Update (March, 2012) |
| 04-03 | Disability Retiree Earned Income Statement (April, 2011) |
| 04-04 | Spousal Consent Form (December, 2012) |
| 04-05 | Authorization for Direct Deposit (June, 2015) |
| 04-06 | Application for Waiver of Electronic Funds Transfer Requirement (April, 2008) |
| 04-07 | Affidavit of Suspension of Benefits (August, 2014) |
| 04-08 | Disability to Regular Retirement Election (March, 2016)
|
| 06-03 | Option 2B Mentally Handicapped Designee (August, 2010) |
| 09-03 | Request for Withdrawal from DROP-IBO (June, 2015) |
| 09-04 | Transfer to Self-Directed Plan (October, 2010) |
| 10-01 | Beneficiary Signature (April, 2014) |
| 10-06 | Application for Change in Retirement Benefit Due to Divorce (November, 2013) |
| 10-07 | Application for Change in Retirement Benefit Due to Death of Beneficiary (May, 2014) |
| MSD12 | Annual Attending Physician's Statement (July, 2011) |
| MSD64 | Student School Certification and Release (November, 2011) |
| W-4P | Withholding Certificate for Pension or Annuity Payments (2016) |
| Legal | Limited Power of Attorney Form |
