| 1 |
Authorized Signatures and Employer Contacts (10/10) |
| 2 |
Enrollment Application/Employee Notification (6/09) |
| 2AC |
Change of Address Authorization (6/09) |
| 2R |
Election to Retain Membership (6/09) |
| 2SS |
Statement Concerning Your Employment in a Job Not Covered by Social Security (6/09) |
| 3 |
Change of Beneficiary (2/12) |
| 4A |
Contributions Report Transmittal (6/09) |
| 4B |
Contributions Correction Report (6/09) |
| 4C |
Contribution Checks Transmittal (6/09) |
| 4P |
Prior Year Correction of Earnings and Contributions (6/09) |
| W4P |
Withholding Certificate for Pension or Annuity Payments |
| 4T |
Employment Terminations (6/09) |
| 5 |
Service Credit Verification (6/09) |
| 5PT |
Report on Part-time Service (4/04) |
| 5WC |
Report on Workers' Compensation (4/04) |
| 7 |
Application for Refund of Member Contributions (1/11) |
| 7D |
Application for Refund of Contributions to Beneficiary (3/12) |
| 8 |
Authorization for Direct Deposit (6/09) |
| 9IO |
Purchase of In-State, Out-of-State, Public, or Private School Employment (2/07) |
| 9M |
Application for Purchase of Military Service (6/09) |
| 9R |
Application for Reciprocal Recognition of Service (4/04) |
| 9RO |
Rollover/Trustee-to-Trustee Transfer Acceptance (2/06) |
| 9RS |
Application for Purchase of Refunded Service (2/07) |
| 9SB |
Application for Purchase of City or Parish School Board Employment (2/07) |
| 9T |
Application for Transfer of Creditable Service (6/09) |
| 10 |
Application for Service Retirement (3/12) |
| 10-05 |
Application for Service Retirement under the Initial Benefit Retirement Plan (IBRP) (12/11) |
| 10A |
Employer Certification (5/11) |
| 10DRC |
After-DROP Notification (1/11) |
| 10DR |
Application for Deferred Retirement Option Plan (DROP) (12/11) |
| 11 |
Spousal Consent for DROP or IBRP Account (4/04) |
| 11D |
DROP or IBRP Account Withdrawal Selection (12/11) |
| 11E |
Spousal Consent for Selection of DROP or IBRP Withdrawal Method (4/04) |
| 11I |
DROP or IBRP Account - Spouse or Alternate Payee Lump Sum Withdrawal (2/12) |
| 12 |
Application for Disability Retirement (6/10) |
| 12B |
Disability Report by Supervisor (10/10) |
| 12C |
Physician Report of Disabling Condition(non-psychiatric) (10/11) |
| 12CP |
Physician Report of Disabling Condition(psychiatric) (10/11) |
| 12CR |
Annual Physician Report of Disabling Condition (3/12) |
| 12D |
Disability Provisions Statement (4/04) |
| 12E |
Member Statement of Disabling Condition (4/04) |
| 12F |
Notification of Income from Other Sources (4/04) |
| 13 |
Application for Survivor Benefit (10/11) |
| 13H1 |
Eligibility Certification for Handicapped Survivor (4/04) |
| 13H2 |
Physician Report of Handicap (11/11) |
| 13M |
Marriage Affidavit for Surviving Spouse (4/04) |
| 13S1 |
School Information Statement (6/09) |
| 13S2 |
Student's Marital Status Statement (4/04) |
| 15 |
Re-employment of Retiree - Earnings Report (8/06) |
| 15N |
Retiree Return-to-Work Notification (2/07) |
| 16 |
Request for Monthly Benefit Estimate (4/04) |
| 17 |
Annual Cost of Living Option (10/09) |
| 17A |
Annual Cost of Living Option (10/09) |
| 18 |
Member Authorization for Income Verification (1/12) |
| 36 |
Zero Posting Parameters (6/09) |