MPERA Forms for Members

Please note our multi-paged forms are designed to be printed on both sides of the paper. Please be sure your printer settings are set to print duplex.

FORM DESCRIPTION
REVISED DATE

Address Change Form for Inactive Members

If you are no longer contributing but still have an account with MPERA, use this form to notify us if your address changes. If you are contributing to your account, do not use this form. Instead, notify your payroll clerk or HR person of your address change. They will notify us.

03/2014

Authorization for Release of Confidential Information

Authorization to waive the right of confidentiality in order to allow a named individual or entity to have access to retirement information.

06/2015

Election and Certification to Purchase Absence

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

08/2014

Defined Benefit Refund Application

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

08/2015

Estimate Request

If you are considering retirement or participating in DROP, fill out this form to request an estimate. For Defined Benefit participants only.

10/2015

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.

10/2014

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.

09/2013

Retirement Fund Information

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

05/2014


MEMBERSHIP/BENEFICIARY DESIGNATION CARDS
Address changes must be done through your employing agency. 
Contact your HR/payroll office to update your address. 

PERS Membership Card /Designation of Beneficiary

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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