Application for a Reemployed PERA Retiree
To be used by a PERA retiree returning to work for a PERA affiliated-employer.
Forms/Resources
PERA offers publications about its benefits and services that can be an invaluable resource. All publications and forms are available to download or print in PDF format.
Application for a Retiree - Judge or Magistrate
To be used by a PERA retiree returning to work for a PERA affiliated-employer as a Judge Magistrate
Application for Exclusion from Membership for Magistrate Retiree - Elected Official
To be used by a PERA magistrate retiree returning to work for a PERA affiliated-employer as an elected official.
Application for PERA Membership - New
To be used by a new employee enrolling with PERA for the first time or by an existing member when beginning work with a new affiliated employer. Updated April 2025
Employee Exclusion from PERA Membership (General)
To be used by seasonal or temporary employees, part-time employees (working less than 20 hours a week), student employees, retired ERA members and independent contractors for exclusion from PERA membership.
Employee Exclusion From PERA Membership Elected Official
To be used by elected officials for exclusion from PERA membership.
Employee Exclusion from PERA Membership PERA Retiree - Elected Official
To be used by PERA retirees who are elected to office for exclusion from PERA membership.
Employee Exclusion From PERA Membership Private Retirement Program
To be used by an employee of a PERA affiliated-employer who accepts a different private retirement from their employer other than PERA.
Employer Certification for Free Military Service
To be used by the employer to certify the dates of employment prior to and immediately after activation into military service.
Employer Certification for Injured Public Safety Employee Service Credit
To be used by a PERA affiliated employer upon the time a member enters into and returns from Worker's Compensation.
Employer Certification Form
To be used to certify a member's wages prior to retirement.
Employer's Report of Disability
Employer's Report of Disability
PERA Employer Pick Up Guide
Guidance for Municipal Employer/Entities interested in withholding PERA contributions pre-tax or those entities/employers who are interested in paying up to 75% of employee contributions to PERA.
PERA Pay Rate Change Certification - New
To be used when an employee has had a change in pay or compensation. Updated April 2025
PERA Retiree Exemption from Membership-Public Safety
To be used by PERA retirees who are returning to certain public safety positions between July 1, 2024 and June 30, 2027.
PERA SmartSave Voya Authorization Agreement for ACH and Payroll Reporting
PERA SmartSave Deferred Compensation Form for Employers.
PERA SmartSave Voya Data Gateway User Guide
PERA SmartSave Deferred Compensation user guide for the Voya Portal.
PERA SmartSave Voya Sponsor Web Access Request
PERA SmartSave Deferred Compensation Form for Employers.
PERA Termination Notice (DFA Only) - New
To be used for all members who are terminating their position from a PERA employer regardless of the length of employment. If a member is transferring to a position with another PERA-affiliated employer, then the Employer's Certification of Transfer to Another PERA Entity section should be completed. Updated April 2025
