ERSRI

Visit the new ERSRI online information center for news, publications, forms, investment performance and other updates.

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Forms Download
 
 Instructions
 

Welcome to the ERSRI Forms Download page.

We recommend that you obtain all of your forms by downloading and printing them from this website. This ensures that you are using the most up-to-date version of the form that ERSRI has available. For your convenience, these forms have been categorized into Membership Forms, Retiree Forms and General Forms.You need to have the latest version of the Adobe® Acrobat® Reader® to download forms. You can download the latest version of Adobe® Acrobat® Reader® using the link below.

 

Once you have successfully installed the Adobe® Acrobat® Reader®, click on the links below to download the forms.

 Membership Forms  
 General Membership Forms
Optional Service Credit Forms
  Refund Forms
  • Agreement of Trustee/Custodian: Form that is an agreement between a member and financial institution. This form allows a member to rollover a refund into a qualified retirement account (i.e. IRA)
 
 Retiree Forms
  General Retirement Forms
  • Tax Change: Form used to change the amount of tax withheld from a member's monthly paycheck
  • Direct Deposit: Form that authorizes ERSRI to deposit your pension check directly into your bank account
  Health Forms
 
 General Forms
  Member/Retiree Forms
  • Forgery Affidavit: Form completed by member when he/she thinks refund or benefit payment was forged
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