Categorical List
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Beneficiary Forms
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| Pension Plan
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| BEN-001
| Beneficiary Designation Form - Active Members Only
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| FST-12
| Beneficiary Designation Form - Retired Members and DROP Participants
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Enrollment Forms
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| Pension Plan and Investment Plan
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| ELE-1
| General Retirement Plan Choice Form for Regular, Special Risk, and Special Risk Administrative Support Class Employees
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| ELE-1-EZ
| "EZ" Retirement Plan Choice Form for Regular, Special Risk, and Special Risk Administrative Support Class Employees
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| ELE-2
| 2nd Election Retirement Plan Choice Form
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| ELE-2-EZ
| "EZ" 2nd Election Retirement Plan Choice Form
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| EOC-1
| Ballot Form for Employees of Elected Officers' Class
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| SMS-1
| State Senior Management Service Employees Retirement Plan Enrollment Form
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| SMS-3
| Local Senior Management Service Employees Retirement Plan Enrollment Form
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| Universities and Community Colleges
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| OCC-1
| Ballot/Enrollment Form for Community Colleges Optional Retirement Program Employees
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| OCC-2
| Retirement Plan Conversion Form for Community Colleges Optional Retirement Program Employees
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| ORP-2A
| State University System Optional Retirement Program (SUSORP)/ Retirement Conversion Form
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| ORP-16
| State University System Optional Retirement Program (SUSORP)/ Retirement Plan Choice Form
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| ORP-16A
| State University System Optional Retirement Program (SUSORP)/ Change Form
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Special Risk Forms
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| Pension Plan and Investment Plan
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| FRS-400
| Application for Special Risk Membership - Law Enforcement/Correctional Officers
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| FRS-401
| Special Risk Credit for Past Service
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| FRS-402
| Application for Special Risk Equivalent Credit
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| FRS-404
| Application for Special Risk Administrative Support Class
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| FRS-405
| Application for Special Risk Membership - Firefighters/Paramedics/EMTs
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| FRS-415
| Application for Special Risk Class Membership - Forensic Discipline, Effective July 1, 2008
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Applying for Retirement Forms
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| Pension Plan
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| BVR-1
| Birth Verification Form (Request for Proof of Age)
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| FR-11
| Application for Service Retirement
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| FRS-11o
| Option Selection for FRS Members
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| FST-11o
| Option Selection for TRS and SCOERS Members
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| FST-12
| Beneficiary Designation Form - Retired Members and DROP participants
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| Investment Plan
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| HIS-IP
| FRS Application for Health Insurance Subsidy for Investment Plan Members
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| HIS-IP-2
| FRS Health Insurance Subsidy Certification for Investment Plan Members
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DROP Forms
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|---|
| Pension Plan
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| BVR-1
| Birth Verification Form (Request for Proof of Age)
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| DP-11
| Application for Service Retirement and the Deferred Retirement Option Program (DROP)
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| DP-ELE
| Notice of Election to Participate in the Deferred Retirement Option Program (DROP) and Resignation of Employment
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| DP-EXT
| Extension of Deferred Retirement Option Program (DROP) for Specified K-12 Instructional Personnel
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| DROP Packet
| Packet containing all the forms needed to apply for DROP including the DP-11, the DP-ELE and the FRS-11o
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| DT-11
| Teachers' Retirement System Application for Service Retirement and the Deferred Retirement Option Program (DROP)
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| FST-12
| Beneficiary Designation Form - Retired Members and DROP participants
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|
After You Retire Forms
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|---|
| Pension Plan
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| ADDCH-1
| Mailing Address Change Request Form - FRS Pension Payment Recipients Only
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| DFS-A1-26R
| Direct Deposit Authorization
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| W-4P
| Withholding Certificate for Pension Payments
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|
Rollover Forms
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|---|
| Pension Plan
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| PRO-1
| Pretax Direct Rollover Form
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| DROP
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| IPDROP-AD-1
| DROP to Investment Plan Direct Rollover Form for Current Members
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| IPDROP-RO-1
| DROP to Investment Plan Direct Rollover Form for Former Members
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|
Disability Forms
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|---|
| Pension Plan
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| FR-13
| Application for Disability Retirement - Pension Plan Members Only
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| Investment Plan
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| PR-13
| Application for Disability Retirement - Investment Plan Members Only
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| Pension Plan and Investment Plan
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| FR-13b
| Physician's Report
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Optional Service Credit Forms
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|---|
| Pension Plan
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| FR-28
| Application to Purchase Retirement Credit for a Leave of Absence
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| FR-30
| Verification for In-State or Out-Of-State Service Credit
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| FR-DS-ORP
| State University System/State Community College Optional Retirement Program Distribution Statement
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| MF-1
| Statement of Military Eligibility
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| MF-2
| Statement of Military Eligibility to Purchase Military Service Under Out-Of-State Provisions
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Reemployment Forms
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|---|
| Pension Plan
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| FR-23
| Notification of Reemployment for Suspension of Retirement Benefits
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| FR-23a
| Application to Reactivate Retirement Benefits
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Senior Management Service Class Forms
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|---|
| Pension Plan and Investment Plan
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| SMS-1
| State Senior Management Service Employees Retirement Plan Enrollment Form
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| SMS-3
| Local Senior Management Service Employees Retirement Plan Enrollment Form
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SMSOAP/SUSORP Forms
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| Senior Management System Optional Annuity Program
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| OAP-ETF
| Supplemental Statement for Distributions for SMSOAP
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| SMS-1
| State Senior Management Service Employees Retirement Plan Enrollment Form
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| State University System Optional Retirement Program
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| FR-SUSORP
| Verification of State University Optional Retirement System Service Dates
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| ORP-2A
| SUSORP Retirement Conversion Form
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| ORP-16
| SUSORP Retirement Plan Choice Form
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| ORP-16A
| SUSORP Change Form
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| ORP-ETF
| Supplemental Statement for Distributions for SUSORP
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Miscellaneous Forms
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| Pension Plan
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| FR-9
| Information Request
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