APERS - Arkansas Public Employees Retirement System

forms

ACTIVE

Benefit Estimate Request Change of Address Change of Name Change of Beneficiary Contributory Election Form Designation of Beneficiary Disability Retirement Application DROP Application Form DROP Distribution Form and Tax Notice DROP Provisions	Duplicate Annual Member Statement Request Elected Official Affidavit of Compliance MDF & Return to APERS Covered Employment Form PAW Application Packet QDRO Language Model Reciprocal Service Request Retirement Application Tax Notice -April 2009 Termination Refund Request Packet

retired

Application for Survivor Benefits Change of Address Change of Name Change of Beneficiary Designation of Beneficiary Direct Deposit Form Option Changes PAW Rollover Distribution Request	QDRO Language Model Verification of Benefits Request Verification of Dependent Status Tax Notice April 2009 State Tax Withholding Form W-4P Withholding Certificate for Pension or Annuity Payments 2012 1099 Duplicate Request Form

employer

APERS Participating Employers List Contributory Refund Request Delinquent Service Form Membership Data Form (MDF)	Notice of Bonus or Lump Sum Payment Return to APERS Covered Employment Form Retroactive Wages Form Wage Verification Form Verification of Termination

forms