Public Employees' Retirement System of Mississippi Forms

This form is used for making a public information request in Mississippi.

This form is used by employers in Mississippi to request member information from ERMI.

This document is a request form to submit public comments to the Board in the state of Mississippi. Use this form to express your opinions or concerns on matters of public interest that are within the board's jurisdiction.

This Form is used for advanced applications for Form 16 in the state of Mississippi.

This document is used for submitting an emergency request to waive the waiting period for a refund in the state of Mississippi.

This Form is used for determining whether a worker should be classified as an employee or an independent contractor in the state of Mississippi. It helps in distinguishing the employment relationship between the worker and the employer.

This document is used for filing an appeal in the state of Mississippi. It is submitted to the appropriate court to challenge a previous decision or ruling.

This document is used in Mississippi for a beneficiary to waive their rights or claims to certain benefits or assets.

This document is used for notarizing documents in the state of Mississippi. It confirms that the document has been signed in the presence of a notary public.

This form is used for acknowledging payments or purchases made in the state of Mississippi.

This form is used for determining eligibility to purchase pension service credit under the Veteran's Reemployment Rights Laws in Mississippi.

This Form is used for pre-applying for service retirement benefits in Mississippi.

This form is used for employers in Mississippi to certify the job requirements for a specific position.

This form is used for pre-applying for disability retirement benefits in the state of Mississippi.

This form is used for reporting qualified military service in Mississippi. It is important for veterans to fill out this form to receive certain benefits and protections.

This form is used for employers in Mississippi to provide a checklist of their job activities. It helps ensure compliance with employment regulations.

This form is used for providing family information in the state of Mississippi.

This form is used for recording the history of the physician and treating facility in the state of Mississippi.

This form is used for pre-applying for survivor retirement benefits in Mississippi.

This Form is used for providing medical information and prior claim history in the state of Mississippi. It is necessary for individuals to complete this form when making a claim for certain benefits or insurance coverage.

This document is used for acknowledging reemployment of a county/municipal elected official in Mississippi after an election.

This form is used for recording and authorizing payments in the state of Mississippi. It provides a record of the payment made and serves as a proof of payment.

This Form is used for authorizing pre-arranged payment from an employer in Mississippi.

This document is used for waiving certain benefits in the state of Mississippi.

This document is for reporting adjustments for tax purposes in the state of Mississippi.

This form is used for employer certification of termination and accumulated unused leave in the state of Mississippi.

This document is used for authorizing user access to the Mypers reporting system in Mississippi.