Retiree Forms
Each form opens in a pdf format, which is good for viewing and printing, although you must have Adobe Reader installed on your computer. There also is an online version of the Name or Address Change form that you can fill in from your computer and submit electronically.
| Name or Address Change. Use this form to update your name or address. You need to notify IPERS of an address change even if you already notified the post office. It’s important to keep you address up to date so IPERS can send you important information. |
online | pdf |
| Application for Service Purchase. Use this form if you are interested in purchasing service as a way to increase your benefit. Read more about how a service purchase works by selecting Benefit Information from the left-hand menu. |
online | pdf |
| Direct Deposit Authorization Form. Use this form to have IPERS directly deposit your monthly benefit payments in your bank account. It is faster and safer than sending a check by mail—and it’s free. (There is an administrative fee for paper checks.) |
online | pdf |
| Enrollment/Beneficiary Designation Form. Use this form to change information about your beneficiary if you selected a payment option that provides death benefits. It’s critical to keep this information up to date! |
online | pdf |
| Reemployment Termination Verification. Use this form if you retired, returned to work, and retired a second time. You are responsible for completing this form whenever you leave your reemployment. |
online | pdf |
| W-4P Withholding. You must complete tax withholding information to adjust the amount withheld from your pension payment. |
online | pdf |
| Model QDRO. A Qualified Domestic Relations Order (QDRO) is a special court order that specifies how pension assets and property will be divided in a divorce. This model QDRO can be used as a template by lawyers and the court to create a QDRO. To learn more about QDROs, please select Benefit Information from the left-hand menu, and choose the topic on Divorce |
MS Word | pdf |
Authorization for Release of Information. This form authorizes IPERS to release and discuss specified information from a member's IPERS account with another named party. |
online | pdf |
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