INSTRUCTIONS: ALABAMA ERS ENROLLMENT MEMBER INFORMATION RECORD (Form ERS 100)

To enroll in the Employees' Retirement System of Alabama, you should file a form ERS 100. This document can be obtained on the website of the Retirement Systems of Alabama.

Alabama ERS Enrollment Member Information Record ERS 100 Step 1: Indicate with a check mark whether you are filing as a new member or are transferring from another ERS agency.

Alabama ERS Enrollment Member Information Record ERS 100 Step 2: Enter your full name.

Alabama ERS Enrollment Member Information Record ERS 100 Step 3: Enter your Social Security number. 

Alabama ERS Enrollment Member Information Record ERS 100 Step 4: Indicate your gender and filing status with check marks.

Alabama ERS Enrollment Member Information Record ERS 100 Step 5: Enter your date of birth.

Alabama ERS Enrollment Member Information Record ERS 100 Step 6: Enter your full address.

Alabama ERS Enrollment Member Information Record ERS 100 Step 7: If applicable, enter the name and date of birth of your spouse.

Alabama ERS Enrollment Member Information Record ERS 100 Step 8: Enter the classification or title or elected office you hold.

Alabama ERS Enrollment Member Information Record ERS 100 Step 9: Enter the name of your employing agency and the section or division.

Alabama ERS Enrollment Member Information Record ERS 100 Step 10: Answer the next five questions by checking "Yes" or "No" as appropriate.

Alabama ERS Enrollment Member Information Record ERS 100 Step 11: If you answered any of the last four question "Yes," you must complete the table below. List your three most jobs. Enter the employing agency in the first column, the city in the second column, the year in the third column, the name under which you worked in the fourth column, and the date on which your employment was terminated in the fifth column.

Alabama ERS Enrollment Member Information Record ERS 100 Step 12: Sign and date the form.

Alabama ERS Enrollment Member Information Record ERS 100 Step 13: The second page requires you to designate a primary and contingent beneficiary to be paid your total accumulated contributions to the retirement system in the event of your death.

Alabama ERS Enrollment Member Information Record ERS 100 Step 14: Sign and date the second page in the presence of a notary public.

INSTRUCTIONS: ALABAMA DEPARTMENT OF DEFENSE DEPENDENT SCHOOL SERVICE PURCHASE INFORMATION (Form TRS DODSS)

Active and contributing members of the Teachers' Retirement System of Alabama with a minimum of 10 years of service credit under this system may purchase credit for Department of Defense Dependent School Service. This article discusses two forms made available along with an instructional document used in this process, which can be found as one packet on the website maintained by the Retirement Systems of Alabama.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 1: The first page is an informational document discussing the service credit purchase process.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 2: The second page contains a Statement Of Department Of Defense Dependent School Service (form TRS SDODDSS). The first section concerns the member. Enter your first  name, middle or maiden name and last name on the first blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 3: Enter your Social Security number on the second blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 4: Enter your date of birth on the third blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 5: Enter your home phone number, including the area code, on the fourth blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 6: Enter your street address or P.O. box number on the fifth blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 7: Enter your city, state and zip code on the sixth blank line.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 8: Part I must be completed by an official of the National Personnel Records Center. In the table provided, they must provide all information requested about your service.

Alabama Department Of Defense Dependent School Service Purchase Information TRS DODSS Step 9: The form should then be forwarded to the Office of Personnel Management for completion of Part II, which contains a questionnaire. An official of this office must answer the questions in this section by checking "Yes" or "No" as applicable, then signing and dating the bottom of the second page, as well as giving their title and the name of the retirement system.

INSTRUCTIONS: ARIZONA APPLICATION TO CALCULATE SEVERANCE FUND REPAYMENT (Form E1B)

Arizona elected officials enrolled in the state retirement fund who have contributed towards a severance fund can apply for a repayment using a form E1B if they regain employment with the state after being fired. This document can be obtained from the website maintained by the Elected Officials' Retirement Plan of the state of Arizona.

Arizona Application To Calculate Severance Fund Repayment E1B Step 1: On the first line of section 1, enter the member's name.

Arizona Application To Calculate Severance Fund Repayment E1B Step 2: On the second line of section 1, enter the member's Social Security number.

Arizona Application To Calculate Severance Fund Repayment E1B Step 3: On the third line of section 1, enter the member's street address, apartment number (if applicable), city, state and zip code. 

Arizona Application To Calculate Severance Fund Repayment E1B Step 4: On the first line of section 2, enter the name of your current employer.

Arizona Application To Calculate Severance Fund Repayment E1B Step 5: On the second line of section 2, enter the current date of your membership.

Arizona Application To Calculate Severance Fund Repayment E1B Step 6: On the third line of section 2, enter the name of your previous employer.

Arizona Application To Calculate Severance Fund Repayment E1B Step 7: On the fourth line of section 2, enter the beginning service date of your previous employment.

Arizona Application To Calculate Severance Fund Repayment E1B Step 8: On the fifth line of section 2, enter the ending service date of your previous employment.

Arizona Application To Calculate Severance Fund Repayment E1B Step 9: On the first line of section 3, enter the amount refunded, if known.

Arizona Application To Calculate Severance Fund Repayment E1B Step 10: On the second line of section 3, enter the date of any such refund.

Arizona Application To Calculate Severance Fund Repayment E1B Step 11: On the first line of the last section, the date on which this form is being completed should be entered.

Arizona Application To Calculate Severance Fund Repayment E1B Step 12: On the second line of the last section, enter the member's signature.

Arizona Application To Calculate Severance Fund Repayment E1B Step 13: This form must be submitted within 90 days after re-employment is obtained. Repayment must be completed within a year to reinstate prior service credits.

INSTRUCTIONS: ANNUITANT'S REQUEST FOR VOLUNTARY ARIZONA INCOME TAX WITHHOLDING (Form A-4P)

Arizona residents receiving an annuity or pension may elect to have income tax voluntary withheld from these funds. This can be done by filing a form A-4P. This document can be obtained from the website maintained by the Arizona Department of Revenue.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 1: Type or print your last name, first name and middle initial in the first blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 2: Enter your Social Security number in the second blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 3: Enter your home street address in the third blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 4: Enter your annuity contract claim or i.d. number in the fourth blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 5: Enter your city or town, state and zip code in the fifth blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 6: Enter your telephone number in the sixth blank box.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 7: Check the box on line 1 if electing to withhold income tax from your pension and annuity payments.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 8: Indicate with a check mark whether you wish for income tax to be withheld at the rate of 0.8%, 1.3%, 1.8%, 2.7%, 3.8%, 4.2% or 5.1%.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 9: If you wish for an additional amount of your distribution to be withheld, enter the dollar amount on the blank line.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 10: Check the box on line 2 if you are terminating a previously elected withholding.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 11: Enter your signature on the first blank line at the bottom of the page.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 12: Enter the date on the second blank line.

Annuitant's Request For Voluntary Arizona Income Tax Withholding A-4P Step 13: Send the form to the payor of your annuity or pension.

INSTRUCTIONS: ALABAMA ADDRESS CHANGE NOTIFICATION 

Retired members enrolled with Alabama retirement systems must notify the agency if they change their home address. The form discussed in this article used to make this notification is found on the website of the Retirement Systems of Alabama. Note that this form is only used to document a change in your home address and cannot be used to change your direct deposit bank address. Note that rather than completing this form, you may change your registered home address online at the URL given at the top of the page. Additional assistance in completing this form can be obtained by calling the phone number also given at the top of the page.

Alabama Address Change Notification Step 1: Indicate with a check mark if you are enrolled in the Employees' Retirement System, Teachers' Retirement System, Judicial Retirement Fund, or if you are a non-RSA member with an RSA-1 account.

Alabama Address Change Notification Step 2: On the first line of Part I, enter your full name.

Alabama Address Change Notification Step 3: On the second line, enter your date of birth.

Alabama Address Change Notification Step 4: On the third line, enter your email address.

Alabama Address Change Notification Step 5: On the fourth line, enter your Social Security number. If you do not have one, enter your PID number instead.

Alabama Address Change Notification Step 6: Part II concerns your address. On the first line, enter the date on which your new address became effective.

Alabama Address Change Notification Step 7: On the second line, enter your full old address, including the street address or PO box, city, state and zip code.

Alabama Address Change Notification Step 8: On the third line, enter your complete new address, include the street address or PO box, city, state and zip code.

Alabama Address Change Notification Step 9: Sign and date the bottom of the form.

Alabama Address Change Notification Step 10: If you are filing this form through the mail, print it out and mail it to the address at the top of the page. Alternately, you may fax it to the number given there for expedited service.

Alabama Address Change Notification Step 11: Once the form has been processed, it will apply to all existing RSA accounts you have.