Pennsylvania Public School Employees' Retirement System Forms

This type of document is used for purchasing non-intervening military service in Pennsylvania.

This form is used for establishing a power of attorney relationship in Pennsylvania. It is an affidavit that documents the relationship between the principal and the agent.

This form is used for requesting purchase credit for full-time service in Pennsylvania.

This Form is used for pension or annuity recipients in Pennsylvania to determine federal tax withholding on their payments.

This Form is used for appointing someone as your power of attorney in Pennsylvania.

This form is used for Psers Verification of Deposit in Pennsylvania.

This form is used for Pennsylvania state employees who want to apply to return their withdrawn contributions. It allows individuals to request the return of contributions previously withdrawn from their retirement account.

This form is used for creating a non-durable power of attorney affidavit in Pennsylvania.

This document is used for adding an addendum to the nomination of beneficiaries form in Pennsylvania.

This Form is used for applying for multiple service membership in Pennsylvania.

This Form is used for applying to purchase credit for an approved leave of absence in Pennsylvania.

This form is used for requesting a waiver of pension benefits in the state of Pennsylvania.

This form is used for confirming rollover contributions made to a retirement plan in Pennsylvania.

This Form is used for authorizing a direct rollover of retirement funds in Pennsylvania.

This form is used for purchasing United States Government services in Pennsylvania.

This form is used for authorizing the release of medical records in Pennsylvania.

This form is used for purchasing the services of the Pennsylvania County Nurse Service in Pennsylvania.

This form is used for an agent in Pennsylvania to acknowledge their role and responsibilities in a particular matter.

This form is used for Psers retirees and non-active members in Pennsylvania to notify a change of address.

This form is used for designating an option change for death benefits in Pennsylvania.

This form is used for authorizing a direct rollover of retirement funds to an alternate payee in Pennsylvania.

This document is an affidavit form used for the transfer of power of attorney from the state of Pennsylvania to Florida. It allows a person to appoint someone else to act on their behalf in legal and financial matters in Florida.

This form is used for applying to purchase credit for cadet nurse service in Pennsylvania.

This document is used for determining eligibility for the Pennsylvania State Employees' Retirement System (PSERS). It is a questionnaire that must be completed to determine if an individual is eligible for PSERS benefits.

This Form is used for requesting a maternity leave of absence in Pennsylvania.

This document is used for recording the purchase of former part-time uncredited service in Pennsylvania.

This Form is used for authorizing the electronic transfer of monthly benefits through direct deposit in Pennsylvania.

This document is used for organizing and keeping track of vital papers and other important information in Pennsylvania.

This form is used for requesting a recalculation estimate due to a change in marital status or the death of a survivor annuitant in Pennsylvania.

This form is used for obtaining employer verification for an approved leave of absence in the state of Pennsylvania.

This form is used for making service adjustments for years 1977-2004 in Pennsylvania.