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Employer Forms

Most of the forms below are available in Portable Document Format (PDF).  You may need to download a free copy of the Adobe Acrobat® Reader™ to open them. If you prefer to receive a form or publication by mail, click here.

Form Name

Form Number

eSERS - Employer Web Administrator Registration 37.07  
Employee Statement Concerning Employment in a Job Not Covered by Social Security SSA-1945 
Membership Exemption Form 5.016 
Membership Determination Form 75.768
Reemployed Retiree Notification Form 75.770
Notice of Employment or Reclassification of Employee Eligible for ARP 5.171
Retirement Plan Election Form (For Employees Eligible for ARP)  
Certification of Salary for Non-Contributing Service 35.2
Retirement Election for New School & Governing Board Members 5.206