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Member Forms

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
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
Defined Benefit 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.