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Forms

Landing Forms

Apply for free service credit to cover your military leave from an IPERS-covered employer. For additional information on military benefits, visit the military benefits page.

Application for IPERS Refund

This form, available in My Account, shows you an estimate of your refund amount. Weigh your options carefully before taking an IPERS refund. 

Application for IPERS Retirement Benefits

Please contact an IPERS retirement counselor to request a copy of this form. The counselor will discuss your options, and provide information specific to you.

Complete this application to make up your IPERS contributions which were unpaid while you were on military leave from an IPERS-covered employer.

Submit this form to receive an estimate or a quote to purchase additional service credit. The more years of service you have, the higher your monthly benefit will be at retirement.

Use this form to designate or change your IPERS beneficiary. You can also complete update your beneficiary designation in My Account.

NOTE: If you are married and wish to designate someone other than your spouse, you must print, sign and return the form to IPERS.

For some public employees who can opt out of IPERS within the first 60 days of employment.

You can update your contact information directly in My Account or complete this form and return to IPERS.

Complete this form to allow IPERS to temporarily release and discuss specific information from your account with a third party.

You can always view a benefit estimate in My Account. You may also complete this form to have IPERS send you a copy of your benefit estimate.

Use this form to designate or change your IPERS beneficiary. You can also complete update your beneficiary designation in My Account.

NOTE: If you are married and wish to designate someone other than your spouse, you must print, sign and return the form to IPERS.

Complete this form to allow IPERS to deposit your monthly payment directly into your bank account. You can also complete update your direct deposit information in My Account.

You can update your contact information directly in My Account or complete this form and return to IPERS.

If you retired, returned to work, and retired a second time, you must complete this form when you leave your reemployment.

Complete this form to allow IPERS to temporarily release and discuss specific information from your account with a third party.

Log in to My Account to adjust the amount withheld from your pension payment or complete this form.

This form notifies IPERS that you are closing an account or merging an account with another one. 

For some public employees who can opt out of IPERS within the first 60 days of employment.

Submit this form if you are unable to file reports electronically. Processing fees may be waived in extenuating circumstances.

Use this form to change your designated reporting official, and to add or update contact information for your employer.

Submit this form to establish an IPERS employer account if you are not currently an IPERS-covered employer. We use the information on this form to determine eligibility.

Only employers who provide their wage reports on paper should use this form. You should include the Employer Wage Reporting Summary form with your reports. 

NOTE: You do not need to use this form if you use I-Que to report electronically.

Complete this form to ask us to extend the deadline for a monthly wage report or contribution payment. You can avoid late fees if you receive an extension before the deadline.

Use this form to ask us to waive fees or interest charged to your employer account, such as fees assessed for late wage reports or contributions.

Use this form to certify that your organization's Section 125 plan (cafeteria plan) meets the requirements in Internal Revenue Code Section 125. Forms are due to IPERS by December 31.

Use this template to create and save a spreadsheet to your computer. You can then export the spreadsheet to IPERS through I-Que.

Submit this form if you do not have wages to report for one or more full calendar months and you want to change the reporting deadline to a future date. We do not assess late charges if we receive the form before the reporting deadline. You may file a wage report indicating zero covered wages instead of using this form.

Use this form to request corrections to wages that were unreported or erroneously reported during a previous quarter.

Submit this form to determine whether you should designate an individual as an independent contractor or a regular employee for IPERS' purposes.