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

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

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

A letter to employers regarding the deduction of health insurance premiums.

Retiree may choose how much taxes are withheld from their retirement benefit.

Certification by pay period of working retirees under the Public Employee Retirement System (PERS), the Sheriffs' Retirement System (SRS) and the Firefighters' Unified Retirement System (FURS).