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The forms listed below are used for existing ERSRI members to change their information, designate a beneficiary, and more.
Use this form to inform ERSRI about your Domestic Partnership or the termination of a Domestic Partnership.
Use this form to request verification of your retirement eligibility or a benefit estimate.
Use this Application for Termination Packet if you are a member of ERSRI/MERS who has separated from employment and want to request a refund of your contributions.
Use this form if you have already submitted an Application for Termination from ERSRI and want to roll your contributions into another qualified retirement plan.
Use this form to tell ERSRI who you would like to name as your primary and contingent beneficiaries or to change your designated beneficiaries.
If you worked after June 30, 2012 within ERSRI, please remember to also update your beneficiaries with TIAA. To change your beneficiary online, please visit www.tiaa.org/beneficiary.
Use the Change of Information form to report a name change, new e-mail address, or change of telephone number. Note: If you are an active member, report your address change directly to your employer.
For certification by employers. Use this form to help ERSRI determine service credits based on the number of days worked by a teacher.
Use this Employer Certification Termination form upon termination of employee.
Use this Employer Certification of Retirement upon retirement of an employee.
To learn more about initiating the retirement process, click here. For guidance on how to complete your retirement forms, click here.
For certification by employers. Use this form to help ERSRI determine service credits based on a member’s salary.
For certification by employers. Use this form to provide ERSRI detail of retroactive salary paid to an employee.
Use this HARTFORD Life Insurance Beneficiary Designation form if you would like to name a new beneficiary on your HARTFORD policy. This form must be sent directly to the HARTFORD Insurance address located on the form.
Retirement Forms
Use the links below to learn more about initiating the retirement process and guidance on how to complete your retirement forms.
Learn more about the forms required prior to your retirement date.