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Date of hire and separation;
The retired member’s position prior to retirement;
The retired member’s salary; and
The monthly vacancy rate for each position filled by a retiree.
A completed PERA Retiree Exemption from Membership – Public Safety form should be submitted to PERA for each retiree hired.
Eligible Public Safety Positions are as follows:
Adult Correctional Officer
Adult Detention Officer
Courthouse Security Officer
Emergency Medical Dispatcher
Emergency Medical Technician or Paramedic
Firefighter
Juvenile Correctional Officer
Juvenile Detention Officer
Municipal Police Officer
Peace Officer
Protective Services Investigator
Public Safety Telecommunicator
Sheriff's Deputy
State Police Officer
Note For Employer HR
In order for PERA to be as up-to-date as possible on employee membership and beneficiaries, it is imperative that Human Resources offices send Application For PERA Membership and Beneficiary Designation forms as soon as possible after a new employee completes the forms.
PERA Forms Updated
PERA forms are regularly updated and always available on the PERA website. Please visit the Forms page to ensure you are always using the most current version of PERA forms.