IPERS
Forms

Enrollment/Beneficiary Designation. Submit this form to IPERS when you first become a member, and update it when you need to change your beneficiary. Check your beneficiary designation by logging in to My Account.

Name or Address Change. Update your contact information in My Account, or use this form.
Application for IPERS Retirement Benefits. Please contact an IPERS retirement counselor to request a copy of this form. The counselor will discuss your options, and provide information specific to you.

Application for IPERS Refund. Weigh your options carefully before taking an IPERS refund. The form is available in My Account and shows you an estimate of your refund amount.

Application for Free Military Credit. For those who served in the military and may be eligible for free service credits.

Application for Military Leave Contributions. For those who served in the military and want to make up IPERS contributions that were not paid while on active duty.

Application for Service Purchase. IPERS will send you a service purchase cost quote after you submit this form.

Election for Termination of IPERS Coverage. For some public employees who can opt out of IPERS within the first 60 days of employment.

Request for IPERS Benefit Estimate. Log in to My Account to see your estimate immediately, or use this form.

IPERS QDRO. An IPERS Qualified Domestic Relations Order (QDRO) is a special court order that divides a Member's pension assets with an Alternate Payee, following a divorce.

To learn more about QDROs and divorce, see the booklet Divorce & IPERS Benefits.

Authorization for Release of Information. Allows IPERS to release and discuss specified information from a member’s IPERS account.
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