PSRSSTL Forms & Documents

To select a form, please click on the title below.  Members can "fill out" various PSRSSTL forms online.  However, members must print, sign and forward completed forms to the Retirement Office.   The PSRSSTL accepts  original forms only.  Members may personally deliver completed forms to the Retirement Office or send through the mail.  The PSRSSTL does not accept completed forms as email attachments.

To download and view these forms, you will need software that will allow you to access PDF files.  If you require this software, please click on the Adobe icon to download a free copy. 

• Address Correction Request

• Annual Report

• Authorization to Release Member Information

• Beneficiary Designation

• Change of Address

• Direct Deposit Authorization Form

• Disability Pension Application

• DROP End Notice

• Enrollment Form

• F

• Guide To Retiring 

• H

• Insurance Waiver Form

• J

• K

• L

• Member Handbook

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• N

• O

• Pension Application (Retirement)

• Pension Deduction Authorization

• Preparation for Retirement

• Purchase of Service - In System Layoff

• Purchase of Service - Out of System

• Purchase of Service - Substitute (Within System)

• Q

• Refund Distributions Rollover Options

• Refund - Member Request

• Refund - Beneficiary Request - Not Spouse

• Refund - Beneficiary Request - Surviving Spouse

• Retirement Guide

• Retirement Application

• Retiree Return To Work Program

• S

• Tax Withholding Form, Federal W-4P

• Tax Notice

• U

• V

• Waiver Form, Insurance 

• Working After Retirement

• X

• Y

• Z

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