Member Forms





FORM
DESCRIPTION
REVISED DATE

Certification of USERRA Service

This form is for the certification and purchasing of service credit for absent time covered under the Uniformed Services Employment and Re-employment Act.

08/2004

Certification of Workers' Compensation

This form is for the certification and purchasing of service credit for absent time covered under Workers' Compensation.

05/2010

Defined Benefit Refund Application

Application for refund of contributions for a terminating employee who is a member of the Defined Benefit plan.

01/2012

Estimate Request

If you are considering retirement, fill out this form to request an estimate of your retirement benefit. For Defined Benefit participants only.

11/2006

Military Time Buyback letter

If you wish to buy your military time, complete this letter and return it to MPERA.

02/2010

Name Change

If you have changed your name, please complete this form and return it to MPERA.

9/2011

Plan Choice Election

This form is for new and rehired members of PERS who are ready to make their retirement plan election. This includes Montana University System members.

09/2010

Retirement Application for VFCA

Fill out to apply for a service retirement benefit based on time served and recorded by MPERA. This is for members of the Volunteer Firefighters' Compensation Act only.

10/2007

Retirement Fund Information

If you are leaving employment, you have several choices regarding your retirement funds.

10/2010


MEMBERSHIP/BENEFICIARY DESIGNATION CARDS

PERS Membership
/Designation of Beneficiary Cards

The Public Employee Retirement System membership card is for new hires and for current PERS members who wish to change their designated beneficiaries.

JRS Membership
/Designation of Beneficiary Cards

The Judges' Retirement System membership card is for new hires and for current JRS members who wish to change their designated beneficiaries.

HPORS Membership
/Designation of Beneficiary Cards

The Highway Patrol Officers' Retirement System membership card is for new hires and for current HPORS members who wish to update their statutory beneficiaries or change their designated beneficiaries.

SRS Membership
/Designation of Beneficiary Cards

The Sheriffs' Retirement System membership card is for new hires and for current SRS members who wish to change their designated beneficiaries.

GWPORS Membership
/Designation of Beneficiary Cards

The Game Wardens' and Peace Officers' Retirement System membership card is for new hires and for current GWPORS members who wish to change their designated beneficiaries.

MPORS Membership
/Designation of Beneficiary Cards

The Municipal Police Officers' Retirement System membership card is for new hires and for current MPORS members who wish to update their statutory beneficiaries or change their designated beneficiaries.

FURS Membership
/Designation of Beneficiary Cards

The Firefighters' Unified Retirement System membership card is for new hires and for current FURS members who wish to update their statutory beneficiaries or change their designated beneficiaries.

VFCA Designation of Beneficiary Cards

The Volunteer Firefighters' Compensation Act Designation of Beneficiary card is for volunteer firefighters to name their statutory beneficiaries.

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