Forms for Employers
Each form opens in a pdf format, which is good for viewing and printing. You must have Adobe Reader installed on your computer.
| Close or Merge Employer Account. Use this form to notify us that you are closing an account or merging an account with another IPERS account. |
online | pdf |
| Election for Termination of IPERS Coverage. Provide this form to public employees and elected officials who are eligible to elect out of IPERS coverage. Not all public employees have this option. |
online | pdf |
| Electronic Wage Reporting Waiver. Submit this form if you are unable to file reports electronically. Processing fees may be waived in extenuating circumstances. |
online | pdf |
| Employer Account Demographics. Use this form to change your designated reporting official, and to add or update contact information for your employer. |
online | pdf |
| Employer Enrollment Application. File this form to establish an IPERS employer account if you are not currently an IPERS-covered employer. We use the information on this form to determine eligibility. |
online | pdf |
| Enrollment/Beneficiary Designation Form. Used to enroll new public employees in IPERS, this form also names the beneficiary who would receive your death benefits. It’s critical to keep this information up to date by filing a new form when necessary! |
online | pdf |
| Member Employment Information Update. Use this form to make changes to the demographic and employment information for your employees. You also can change this information through monthly wage reports or by entering the changes online using I-Que. |
online | pdf |
| Periodic Wage Detail. Send monthly wage details to us on this form only when you report on paper. You must submit an Employer Wage Reporting Summary at the same time. (Most employers do not need either form because they use I-Que to report electronically.) |
online | pdf |
Request for Extension. Complete this form to ask us to extend the deadline for a monthly wage report or contribution payment. You can avoid late fees if you receive an extension before the deadline. |
online | pdf |
Request for Waiver of Fee/Interest Charges. Use this form to ask us to waive fees or interest charged to your employer account, such as fees assessed for late wage reports or contributions. |
online | pdf |
| Wage Report Due Date Change. Submit this form if you do not have wages to report for one or more full calendar months and you want to change the reporting deadline to a future date. We do not assess late charges if we receive the form before the reporting deadline. You may file a wage report indicating zero covered wages instead of using this form. |
online | pdf |
| Wage Reporting Adjustments. Use this form to request corrections to wages that were unreported or erroneously reported during a previous quarter. If you have a PC with Windows and Excel 2003, you may also use the Wage Adjustment Import Spreadsheet to create and save a spreadsheet to your computer. You may then export the spreadsheet to IPERS through I-Que. |
online | pdf |
| Worker Status Determination. Use this form to determine whether you should designate an individual as an independent contractor or a regular employee for IPERS' purposes. |
online | pdf |
|
