Alabama Retirement Forms
Re-employed State Retiree Health Insurance Form
Address Change Notification
Annual Investment Option Election
Annual Investment Option Election for DROP Rollover or 457 Transfer
Application and Certification for Out of State Service Credit
Application and Certification for Out-of-State Service
Application of Surviving Spouse for Retirement Benefits
Application to Obtain Service Credit for Maternity Leave Without Pay
Applying for DROP Distribution – Death During DROP Participation
Applying for DROP Distribution – Early Termination
Applying for DROP Distribution – Participation Period Completed
Applying for DROP Distribution – Post DROP Termination
Authorization to Defer Compensation
Beneficiary Designation
Certification of Service
Certification of Teacher Aide Service, Teacher Corps Service, and Job Corps Service – Acts 93-768 / 98-385
Department of Defense Dependent School Service
Direct Deposit Authorization
DROP Participation Period Completed – Will Continue Employment
ERS 10MB Multiple Beneficiaries Attachment
ERS F Service Calculation
Financial Hardship Distribution Request
Financial Hardship Required Documentation
Firefighter Certification
Form 1-C, Enrollment Blank
Form 100, Enrollment Form: Member Information Record
Form 12, Insurance Authorization
Form ERS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form ERS 10 D-E Request for Early Termination of DROP
Form ERS 10 DMB Designation of Multiple Beneficiaries for DROP
Form ERS 10MB Multiple Beneficiaries Attachment
Form ERS 7IR Ineligible Member Refund Request
Form ERS F SC Service Calculation
Form ERS SMS Statement of Military Service Act 66
Form ERS SS General Statement of Service
Form ERS TRF TR-2 Transfer of Membership from Employees’ Retirement System
Form ERS100 ERS Enrollment Member Information Record
Form IB04 Retiree Enrollment Form
Form IB16 Retiree Employment Verification
Form IB18 Retiree Years of Service Verification Form
Form JRF 1-C Enrollment Blank
Form JRF 12 Insurance Authorization Form
Form JRF MMCR – FEE Monthly Member Contribution Remittance Probate Judges on Fee
Form JRF MMCR – Salary Monthly Member Contribution Remittance Probate Judges on Salary
Form JRF SS Application of Surviving Spouse for Retirement Benefits
Form MB, Designation of Multiple Beneficiaries for DROP
Form PEEHIP REV 2U Retiree Employment Verification
Form RSA 10 D-D Request for DROP Distribution and Rollover Election
Form RSA 14 APAD Acceptable Proof of Age Documents
Form RSA 50B Application and Certification for Out-of-State Service
Form RSA 50B OSS Application and Certification for Out-of-State Service Credit
Form RSA 7 Notice of Final Deposit and Request for Refund
Form RSA ADDCHGF Address Change Notification
Form RSA CS Certification of Service
Form RSA DDR Direct Deposit Authorization
Form RSA DROP BEN Applying for Beneficiary Payment DROP
Form RSA FCFERS Firefighter Certification
Form RSA LEOCFERS Law Enforcement Officer Certification
Form RSA PUR TRAN Purchase Transfer Request
Form RSA RFAI Request to Fax Account Information
Form RSA SB Application for Survivor Benefit
Form RSA SWDS Statement of Withdrawn Service
Form RSA WCPAP Withholding Certificate for Pension or Annuity Payments
Form RSA-1 457 IN TRANS Incoming Transfer from Other Section 457 Plans to RSA-1
Form RSA-1 ADC Authorization to Defer Compensation RSA-1 Deferred Compensation Plan
Form RSA-1 CATCH UP Special Catch-Up Election and Worksheet RSA-1 Deferred Compensation Plan
Form RSA-1 EMERG Financial Hardship Distribution Request
Form RSA-1 EN IOE 457 Transfer Investment Option Election for Incoming 457 Transfer
Form RSA-1 EN IOE New Investment Option Election for New Accounts RSA-1 Deferred Compensation Plan
Form RSA-1 EN RSA-1 Enrollment RSA-1 Deferred Compensation Plan
Form RSA-1 Hard Doc Financial Hardship Required Documentation
Form RSA-1 IOE Annual Investment Option Election RSA-1 Deferred Compensation Plan
Form RSA-1 IOE DROP or TRANSFER Annual Investment Option Election for DROP Rollover or 457 Transfer RSA-1 Deferred Compensation Plan
Form RSA-1 PEIRAF BEN Beneficiary Designation RSA-1 & PEIRAF
Form RSA-1 PURSVC In-Service Transfer to Purchase Permissive Service Credit RSA-1 Deferred Compensation Plan
Form TRS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
Form TRS 12-T Insurance Authorization
Form TRS DODDSS Department of Defense Dependent School Service Purchase Information
Form TRS SMS 1109 State Military Service Purchase
Form TRS SMS 90-528 Statement of Military Service
Form TRS TRFTR-1 Transfer of Membership from Teachers’ Retirement System
General Statement of Service
Ineligible Member Refund Request
Insurance Authorization
Investment Option Election for 457 Transfers
Investment Option Election for New Accounts
Law Enforcement Officer Certification
Monthly Member Contribution Remittance – Fee
Monthly Member Contribution Remittance – Salary
Postretirement Employment Options
Purchase Transfer Request
Report of Disability Packet
Request for DROP Distribution and Rollover Election
Request for Waiver from CME Due to Retirement
Request to Fax Account Information
Retirement Application Packet for Non-State Employees Part I
Retirement Application Packet for State Employees Part I
Retirement Application Packet Part I
Retirement Application Packet Part I Non-State
Retirement Application Packet Part I State
RSA 100-C Change of Beneficiary Form
RSA 100-C Change of Beneficiary Form – Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement Form
RSA 14, Acceptable Proof of Age Documents
RSA 7 Notice of Final Deposit and Request for Refund
RSA 7, Notice of Final Deposit and Request for Refund
RSA SB PRDB, Application for Survivor Benefit
RSA-1 Enrollment
Special Catch-Up Election and Worksheet
Special Tax Notice Regarding Your Rollover Options
Statement of Withdrawn Service
Teacher Aide Service Information Teacher Corps Service Information Job Corps Service Information
Transfer of Membership from the ERS
Transfer of Membership from the TRS
Transfer to Purchase Service Credit
Transfers from 457 Plans to RSA-1
TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
TRS SMS 1109, State Military Service Purchase
TRS SMS 90-528, Military Service Purchase Act
Withholding Certificate for Pension or Annuity Payments
Withholding Certificate for Pension or Annuity Payments W-4P