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Retiree Forms

 

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
Tax Withholding Certificate Use this form to tell MPERA the amount of federal and state income tax to withhold from your monthly benefit payments. 02/2016