Forms for Retirees





FORM DESCRIPTION
REVISED DATE

Direct Deposit Agreement

Complete and return this form to MPERA to authorize a direct deposit of your benefit into your bank account.

03/2015

Change of Address for Retirees

Only retirees should use this form to notify MPERA of any address changes.

03/2014

Health Insurance Authorization

A retiring member may authorize MPERA to deduct health insurance premiums from their retirement benefit.

04/2011

Use this form to tell MPERA the amount of federal and state income tax to withhold from your monthly benefit payments.

02/2016

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