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This site is intended as an informational tool only. It does not constitute a plan document or summary plan description.

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Want it now? Print it now!Employer Forms

The majority of forms listed on this page are available for downloading and printing by clicking the links provided. You may also order forms and publications by completing the form below. Please also visit the Publications and Forms pages to view PDFs of other publications.


Employer's Report of Additions or Deletions to Monthly Payroll (515-102-10)

Certificate of Remittance (515-106-10)

Post-Retirement Employment Election (515-117B-10)

Employer Certification, Death of an Active Member (515-123E-12)

Final Retirement Certification (515-134B-13)
 (Formally known as the Final Unused Sick Leave form) 

Application for Purchase of Delinquent Service (515-143-11)

Participation Election Form - Elected or Appointed Officials (515-157-12)

Status of Post-Retirement Employment (515-178-11)

Employer and Retirement Coordinator Verification (515-200-16)
Complete this form to update or change main or alternate coordinators.

Online User Enrollment (515-201-16)
Complete this form to request access to the Employer Website. You must be listed as a coordinator to gain access. Complete the Employer and Retirement Coordinator Verification form first.

Payroll Schedule and Unused Sick Leave Policy Verification (515-234-16)

Enrollment Worksheet (Enrollment Website)



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